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Management of Symptomatic Uterine Fibroids in Pregnancy by Laparotomic Myomectomy: a Prospective Cohort Study

Recruiting
Conditions
Pregnancy Related
Uterine Fibroid
Registration Number
NCT06009562
Lead Sponsor
University of Palermo
Brief Summary

The frequency of women presenting with a combination of uterine fibroids and pregnancy is in-creasing nowadays. Uterine fibroids in pregnancy are an unfavorable condition in themselves and being reactive to hormonal stimuli, tending to grow, can generate symptoms of different lev-els of severity. Obstetrics and gynecologists are increasingly faced with the problem of clarifying the management tactics of pregnant patients with symptomatic fibroids, who may see their preg-nancy put at risk by these masses.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
28
Inclusion Criteria
  • The large and giant size of UFs, which prevent the proper continuation of pregnancy and/or occupy the entire small and large pelvis, as well as invade and/or occupy the abdominal cavity.
  • Circulatory disorders, evidenced by necrosis of the UFs.
  • Atypical localization of UFs (cervical, isthmic, intraligamentary, etc.), which caused pelvic organ dysfunction (dysuric phenomena, tenesmus, impediment to the act of defecation, pelvic pain).
Exclusion Criteria
  • Refusal of LPTM by the patient.
  • Absence of urgent indication for LPTM during pregnancy.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
continuation of pregnancy5 months

Pregnancy continuation after surgery.

Secondary Outcome Measures
NameTimeMethod
Fetal outcome5 months

Assessed by APGAR 1 and 5 min, birth weight, and fetal conformation.

Trial Locations

Locations (1)

State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG)

🇷🇺

Moscow, Russian Federation

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