Comparison of blood loss between saline injection and classical technique during vaginal surgery for pelvic organ prolapse

Completed

Conditions: Women between 30 and 75 years of age with pelvic organ prolapse undergoing vaginal surgery

Lead Sponsor: Jawaharlal institute of Post graduate medical education and research

Brief Summary: Hydrodissection incorporating saline alone or with different types of vasoconstrictors has been tried in vaginal prolapse surgery. Vasoconstrictors may subject the patient to unnecessary risk. hydrodissection using saline alone has not been compared with conventional incision. so this comparative study is being undertaken. Women undergoing prolapse surgery are usually multiparous and likely to have underlying anemia or poor iron stores. It will help in long run by reducing blood loss and preventing further anemia.

Recruitment & Eligibility

Inclusion Criteria

Women between 30 and 75 years of age with pelvic organ prolapse undergoing vaginal surgery that includes apical component (hysterectomy) and at least one morecompartment (anterior or posterior repair).
b.Operations performed by senior registar or consultant.

Exclusion Criteria

1.Women with recurrent prolapse 2.Women with intra operative blood loss due to slippage of ligature.
3.Women undergoing non descent vaginal hysterectomy.
4.Conservative surgery for prolapse 5.Abdomino vaginal repair surgery for prolapse 6.Additional procedures like Tension free vaginal tape (TVT) or sacrospinal fixation(SSF).

Primary Outcome Measures

Name	Time	Method
to compare the blood loss between hydrodissection and conventional incision without hydrodissection during vaginal surgery for pelvic organ prolapse.	blood loss in milli litre during duration of surgery around 2 hours

Secondary Outcome Measures

Name	Time	Method
to compare the post operative complications like reactionary or secondary haemorhage and infection	5 to 7 days after surgery

Locations (1): Jawaharlal Institute of Post Graduate Medical Education and Research
🇮🇳
Pondicherry, PONDICHERRY, India
Jawaharlal Institute of Post Graduate Medical Education and Research
🇮🇳Pondicherry, PONDICHERRY, India
Dr Shemeena PS
Principal investigator
9539667616
shemeenasayed9@gmail.com