Intravenous Tranexamic Acid Versus IV Carbetocin in Abdominal Myomectomy
Phase 4
- Conditions
- Myomectomy
- Interventions
- Registration Number
- NCT04357015
- Lead Sponsor
- Cairo University
- Brief Summary
the aim of the present study is to compare safety and efficacy of intravenous tranexamic acid versus IV carbetocin in reducing blood loss during abdominal myomectomy: a randomized controlled trial
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 153
Inclusion Criteria
- women with symptomatic fibroids candidate for abdominal myomectomy with staging of myoma from (3 to 6) according to FIGO staging
Exclusion Criteria
- women with Myoma FIGO staging (1,2,7 and 8) candidate for laparoscopic or hysteroscopic myomectomy, women with allergy or contraindications to carbetocin or tranexamic acid
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description intravenous tranexamic acid intravenous tranexamic acid The tranexamic acid (TXA) group will receive a single bolus IV injection of 15 mg/kg of TXA 20 minutes before surgical incision intravenous carbetocin intravenous carbetocin The carbetocin group will receive a single bolus IV injection of 100 mcg of carbetocin 20 minutes before surgical incision placebo placebo the placebo group will be given a normal saline IV bolus 20 minutes before surgical incision
- Primary Outcome Measures
Name Time Method intraoperative blood loss one hour the intraoperative blood loss in ml will be estimated during the procedure
- Secondary Outcome Measures
Name Time Method need for blood transfusion 24 hours need for intraoperative or postoperative blood transfusion
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie tranexamic acid's hemostatic effects in uterine surgery?
How does carbetocin compare to tranexamic acid in reducing intraoperative blood loss during abdominal myomectomy?
Are there specific biomarkers that predict response to antifibrinolytic agents like tranexamic acid in fibroid patients?
What adverse event profiles differentiate oxytocin receptor agonists from antifibrinolytic drugs in gynecological procedures?
How do combination therapies involving tranexamic acid and uterotonic agents compare to monotherapies in controlling intraoperative hemorrhage during myomectomy?