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Use of the Enseal Intrument for Laparoscopic Supracervical Hysterectomy

Not Applicable
Completed
Conditions
Indications for Laparoscopic Supracervical Hysterectomy
Interventions
Device: Sealing tissue with the Enseal device
Procedure: Conventional supracervical hysterectomy
Registration Number
NCT01806012
Lead Sponsor
University Hospital Tuebingen
Brief Summary

The use of the EnSeal® instrument for laparoscopic supracervical hysterectomy in a randomized, single-blinded comparison to the conventional procedure. The objective of the study is to investigate if the use of the Enseal sealing instrument for supracervical hysterectomy leads to a shortening of the operation time.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
160
Inclusion Criteria
  • Age >18 years
  • Indication for supracervical hysterectomy without additional surgical procedures (i. e. oophorectomy)
  • Willingness and capability to comply with all study tests, procedures, and assessment tools
  • Capability of providing informed consent.
Exclusion Criteria
  • History of, or evidence of, gynecologic malignancy within the past five years
  • Pace maker, internal defibrilator/cardioconverter
  • Impaired coagulation parameters
  • Unwillingness to be randomized to treatment
  • History of median laparotomy
  • Intraabdominal adhesions
  • Requirement for open laparoscopy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
EnsealSealing tissue with the Enseal deviceTissue sealing with Enseal device
Supracervical hysterectomy using conventional instrumentsConventional supracervical hysterectomySupracervical hysterectomy using conventional instruments
Primary Outcome Measures
NameTimeMethod
Operation timeDay 1

The following times were documented: total operation time; T1 = start of the operation until cornual structures were ready to be dissected; T2 = the time from the first coagulation and cutting of the cornual structures until the complete preparation of each parametrial side directly before cervical detachment; T3 = time needed for the cervical detachment and subsequent steps (morcellation, closure of trocar sites) until the end of the surgical procedure.

Secondary Outcome Measures
NameTimeMethod
Post-operative painDay 2

Post-operative pain was documented according to a visual analog pain scale from 1 (no pain) to 10 (maximum pain) during hospital stay.

Blood lossDay 2

The perioperative blood loss (ΔHb) was calculated using the comparison of the preoperative red blood cells (RBC) versus the RBC on the first post-operative day. The intraoperative blood loss was measured by the suction unit (categories: \< 50 ml, 50 - 100 ml, \> 100 ml) and by the number of applied blood transfusions.

Trial Locations

Locations (1)

University Women' Clinic Tübingen

🇩🇪

Tübingen, Germany

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