Abdominal Versus Vaginal Bisection in Laparoscopic Hysterectomy (TLH-Bisection)

Tanta University

Status: Completed

Conditions: Uterine Bisection; Laparoscopy; Large Uteri; Hysterectomy

Treatments: Procedure: Vaginal bisection; Procedure: Abdominal bisection

Study type: Interventional

Funder types: Other

Identifiers

NCT04904822

uterine bisection

Details and patient eligibility

About

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

Full description

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.

Enrollment: 66 patients

Sex: Female

Ages: 30 to 60 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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66 participants in 2 patient groups

Study group

Experimental group

Description:

Vaginal bisection of uterus

Treatment:

Procedure: Vaginal bisection

Control group

Experimental group

Description:

Abdominal bisection

Treatment:

Procedure: Abdominal bisection