Closure of the Uterine Artery at Its Origin vs at the Cervix: a Randomized Trial

Not Applicable

Completed

• Conditions: Anatomy; Laparoscopy; Uterine Artery; Hysterectomy

• 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

Study Timeline

• Study First Submitted: 2019-11-06
• Study First Submitted QC: 2019-11-06
• Study First Posted: 2019-11-08
• Study Start: 2019-12-01
• Primary Completion: 2020-08-31
• Study Completion: 2020-08-31
• Status Verified: 2021-02
• Last Update Submitted: 2021-02-05
• Last Update Posted: 2021-02-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 200

Inclusion Criteria

• benign disease
• elective laparoscopic hysterectomy

Exclusion Criteria

• malignant disease
• emergency laparoscopic hysterectomy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
estimated blood loss	End of surgical procedure	ml

Trial Locations

Locations (1)

Ospedale degli Infermi; 🇮🇹 Ponderano, Biella, Italy