Abdominal Versus Vaginal Bisection in Laparoscopic Hysterectomy

Tanta University66 enrolled

Overview

Large uteri present a challenge during Total lap.hysterectomy and its extraction is another challenge. This study addressees and compare 2 methods of retrieval of large uteri

Despite a number of publications about TLH for large uterus, few surgeons have compared the results of their technique of TLH through the vagina or abdominal bisection. The aim of this study was to compare the clinical results of TLH for large uterus through transvaginal or abdominal bisection approaches after strict preoperative assessment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Hysterectomy Laparoscopy Uterine Bisection Large Uteri

Interventions

Vaginal bisectionPROCEDURE

Uterine bisection vaginally by scalpel 24

Abdominal bisectionPROCEDURE

Uterine bisection by endokinfe

Eligibility

Sex: FEMALEMin age: 30 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * large uterus ≥ 12weeks, * benign pathology, * mobile uterus * BMI less than 30kg/m2 Exclusion Criteria: * unfit for laparoscopy, * Extensive pelvic adhesions, * Extensive endometriosis * malignancy * virgin cases

Locations (1)

Tanta University

Tanta, Gharbia Governorate, Egypt

Outcomes

Primary Outcomes

Retrieval time of uterus

Time from end of colpotomy to extraction of uterus

Time frame: 6 months

Blood loss

Amount of blood in suction

Time frame: 6 months

Secondary Outcomes

Injury of other organs

Number of cases with intraoperative injuries

Time frame: 6 months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.