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The Effect of Intracapsular Injection of Terlipressin Versus Carbitocin on Hemoglobin and Blood Loss During Laparoscopic Myomectomy Operations

Not Applicable
Recruiting
Conditions
Myoma
Interventions
Registration Number
NCT05170230
Lead Sponsor
Wael Elbanna Clinic
Brief Summary

Our study aims to evaluate the efficacy of intracapsular injection of Terlipressin versus Carbetocin injection on hemoglobin level in women undergoing abdominal laparoscopic myomectomy. Moreover, to evaluate their efficacy in decreasing blood loss on operative time and to describe the injection sequelae for the same population. This clinical study will be conducted in compliance with the clinical study protocol and applicable regulatory requirements.

Detailed Description

This study is a prospective, comparative, double-blinded randomized placebo-controlled trial and multi-center study that will be conducted at Wael ElBanna Clinic and the NRC site. The study participants' relevant medical records will be collected and reviewed after obtaining informed consent for the participants. Data will be pooled and presented in aggregate, without the identification of individual subjects. The study materials that will be used will include blood tests and ultrasound. The study will involve three study arms:

* Arm 1: intramyometrial injection of Terlipressin in women undergoing laparoscopic myomectomy procedure

* Arm 2: intramyometrial injection of Carbetocin in women undergoing laparoscopic myomectomy procedure

* Arm 3: intramyometrial injection of saline in women undergoing laparoscopic myomectomy procedure Subjects who meet diagnostic requirements as listed in the inclusion and exclusion criteria will be included in the study. Women will be randomized to one of the three arms using a computer-generated randomization table with a 1:1:1 group allocation.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
99
Inclusion Criteria

Not provided

Exclusion Criteria
  1. Previous myomectomy
  2. History of bleeding disorders
  3. Concurrent anticoagulation therapy
  4. History of Uncontrolled ischaemic heart disease
  5. Any pelvic abnormalities requiring concomitant surgery
  6. Treatment with a GnRH agonist or ulipristal acetate within three months preceding surgery
  7. Inability to understand and provide written informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
intracapsular myomectomy Carbetocin injectionTerlipressinintracapsular myomectomy Carbetocin injection in women undergoing laparoscopic myomectomy procedure
intramyometrial salineTerlipressinintracapsular myomectomy saline injection in women undergoing laparoscopic myomectomy procedure
intracapsular myomectomy Terlipressin injectionTerlipressinintracapsular myomectomy Terlipressin injection in women undergoing laparoscopic myomectomy procedure
Primary Outcome Measures
NameTimeMethod
intracapsular injection of Terlipressin versus Carbetocin on change blood loss in patient in laparoscopic myomectomy12 hours

measure the amount of blood loss in mm after intracapsular injection of Terlipressin versus Carbetocin versus saline as aplacebo in women undergoing laparoscopic myomectomy

Secondary Outcome Measures
NameTimeMethod
1. To evaluate the efficacy of intracapsular injection of Terlipressin versus Carbetocin on hemoglobin24 hours

compare the hemoglobin level before and after operation after intracapsular injection of Terlipressin versus Carbetocin saline as aplacebo in women undergoing laparoscopic myomectomy

2. To evaluate the efficacy of intracapsular injection of Terlipressin versus Carbetocin on operative time12 hours

2. To measure the operative time in minutes after intracapsular injection of Terlipressin versus Carbetocin versus saline as aplacebo in women undergoing laparoscopic myomectomy

Trial Locations

Locations (1)

Wael El Banna Clinic

🇪🇬

Maadi, Egypt

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