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A Comparison of Single Versus Double Evacuation for Treatment of Hydatidiform Mole

Phase 4
Conditions
Hydatidiform Mole
Interventions
Procedure: Suction and evacuation
Registration Number
NCT01630954
Lead Sponsor
Nilratan Sircar Medical College
Brief Summary

Hydatidiform mole is a common complication of pregnancy with an incidence of 1in 400 pregnancies in India. Although this is a benign condition , it is having the malignant potential too. A repeat curettage after evacuation of hydatidiform mole was generally advocated till 1990s. A thorough curettage at the time of initial evacuation was not performed because of larger size of uterus and risk of perforation. Subsequently a number of studies assessed the usefulness of repeat curettage and found it was unnecessary and not cost effective . However all these studies are retrospective in design and conducted in developed countries where hydatidiform mole is diagnosed earlier because of wider use of ultrasonography. Thus there is a need to perform a well designed prospective study to compare the effectiveness of single evacuation with double evacuation in treatment of hydatidiform mole for prevention of Gestational Trophoblastic Neoplasia.This study compares the effectiveness of single evacuation versus double evacuation for treatment of hydatidiform mole for prevention of gestational trophoblastic neoplasia .

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
120
Inclusion Criteria
  • Ultrasound confirmed complete mole
Exclusion Criteria
  • Partial mole
  • History of treatment for molar pregnancy like prior evacuation or chemotherapy
  • Women requiring hysterectomy for treatment of H Mole

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Double evacuation of moleSuction and evacuation-
Single evacuation of mole,Suction and evacuation-
Primary Outcome Measures
NameTimeMethod
Proportion of patents diagnosed as GTN following treatment in each groupSix months following evacuation
Secondary Outcome Measures
NameTimeMethod
Maternal complications,Six months
Time interval of normalization of HCGSix months following evacuation
Duration of hospital stayTwo weeks following admission

Trial Locations

Locations (1)

Dr Snehamay Chaudhuri

🇮🇳

Kolkata, West Bengal, India

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