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Bilateral Uterine Artery Occlusion During Laparoscopic Myomectomy
Sponsor: Alexandria University
Summary
The current study is a multiple-arm, single blinded, and controlled randomized trial. It will be conducted in two gynecological endoscopy centers: • ElShatby University Hospital, a tertiary level hospital in Alexandria, Egypt. • Al-Madina Women Hospital, A specialized hospital of Obstetrics and Gynecology, Alexandria, Egypt. Patient selection: women with uterine leiomyomata and planning for laparoscopic myomectomy will be assessed for eligibility then will be enrolled in the trial according to the following inclusion and exclusion criteria, after providing a written informed consent of participation. Outcome variables of the study: The primary outcome is intraoperative blood loss and the change in postoperative hemoglobin. The secondary outcomes of this study are the operative time of performing uterine arteries occlusion and the postoperative ovarian reserve.
Official title: Comparing Different Techniques of Bilateral Uterine Artery Occlusion During Laparoscopic Myomectomy: A Randomized Controlled Trial
Key Details
Gender
FEMALE
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
60
Start Date
2025-05-01
Completion Date
2026-02-28
Last Updated
2026-01-20
Healthy Volunteers
No
Interventions
Temporary clipping of uterine artery
Both uterine arteries will be temporary clipped with a Titanium clip till the end of the myomectomy procedure
Temporary occlusive suturing of uterine artery
A "Shoelace" suture will be applied to both uterine arteries and the sutures will be removed at the end of the myomectomy procdure
Bipolar coagulation of uterine arteries
Permanent coagulation of both uterine arteries will be performed by Bipolar forceps before the start of the myomectomy procedure
Laparoscopic myomectomy only
No occlusion of uterine arteries will be performed. Only Laparoscopic myomectomy will be performed
Locations (2)
Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria Univeristy
Alexandria, El-Shatby, Egypt
• Al-Madina Women Hospital, A specialized hospital of Obstetrics and Gynecology, Alexandria, Egypt.
Alexandria, Smouha, Egypt