Surgical Evacuation of Abortion Under Ultrasonographic Guide

Not Applicable

Completed

• Conditions: Abortion
• Interventions: Procedure: Blinded evacuation; Procedure: Evacuation under ultrasound guidance

• Registration Number: NCT02580175
• Lead Sponsor: Assiut University

Brief Summary

Abortion is considered the most common cause of fetal demise all over the world. The majority of cases occur in the first trimester. The termination of abortion may be by medical or surgical methods, however; the surgical methods represent the greater part of termination. Therefore, the safety of this procedure is a worldwide public health concern. Many clinical studies have reported the safety of surgical evacuation in the first trimester.

The suction-aspiration or vacuum aspiration is the most common surgical method of induced abortion. This consists of removing the fetus, embryo, placenta, and membranes by suction using a manual syringe or electric pump. However; these techniques always need cervical dilation before aspiration. The menstrual extraction does not require cervical dilation and can be used in very early pregnancy.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-05
• Primary Completion: 2015-04
• Study Completion: 2015-05
• Study First Submitted: 2015-10-17
• Study First Submitted QC: 2015-10-17
• Study First Posted: 2015-10-20
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-30
• Last Update Posted: 2024-07-31

Recruitment & Eligibility

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

Inclusion Criteria

• women with non-viable first trimester intrauterine pregnancy
• no contraindication to surgical evacuation under general anesthesia

Exclusion Criteria

• gestational age more than 13 weeks
• hemodynamically unstable
• suspicion of an ectopic pregnancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Blinded evacuation	Blinded evacuation	Ring evacuation was performed in the conventional way without use of ultrasound followed by sharp gentle curettage until complete evacuation
Evacuation under ultrasound guidance	Evacuation under ultrasound guidance	Ring evacuation was performed under ultrasound guidance followed by sharp gentle curettage until complete evacuation. The surgery was considered complete when the endometrial cavity appeared as a regular echogenic line.

Primary Outcome Measures

Name	Time	Method
Measurement of endometrial thickness by ultrasound (mm)	1 month

Secondary Outcome Measures

Name	Time	Method
Measurement of blood loss (mL)	1 month
measurement of operative time (minutes)	1 month
measurement of Hemoglobin level(g/ml)	1 month

Trial Locations

Locations (1)

Women Health Hospital - Assiut university; 🇪🇬 Assiut, Egypt