Closure of the Uterine Artery at Its Origin vs at the Cervix: a Randomized Trial
- Conditions
- AnatomyLaparoscopyUterine ArteryHysterectomy
- Interventions
- Procedure: uterine artery closure
- Registration Number
- NCT04156932
- Lead Sponsor
- Ospedale degli Infermi di Biella
- Brief Summary
One of the fundamental surgical steps in patients undergoing laparoscopic hysterectomy is the closure of the uterine artery, this vessel provides the greatest blood supply to the uterus.
This step can be done in two ways: the surgeon can choose to interrupt the blood flow by closing the uterine artery in its last part, close to the uterus, or the surgeon can develop the anatomical spaces around the uterus into the deep pelvis, closing it to its origin, maintaining a minimally invasive approach in both cases.
Scientific research has tried to establish whether one of the two modalities is the best in reducing intraoperative blood loss and possible complications, but currently there is not enough evidence to recommend an approach rather than another.
The investigator has therefore decided to evaluate the results at the end of a laparoscopic hysterectomy in a scientifically rigorous manner.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 200
- benign disease
- elective laparoscopic hysterectomy
- malignant disease
- emergency laparoscopic hysterectomy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description IUC uterine artery closure Cervical-isthmic uterine artery closure OUC uterine artery closure Origin uterine artery closure
- Primary Outcome Measures
Name Time Method estimated blood loss End of surgical procedure ml
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Ospedale degli Infermi
🇮🇹Ponderano, Biella, Italy