MedPath

Uterine Tourniquet at Open Myomectomy

Not Applicable
Completed
Conditions
Myomectomy
Uterine Leiomyoma
Interventions
Procedure: Single tourniquet
Procedure: triple tourniquet
Registration Number
NCT02049242
Lead Sponsor
Ataturk University
Brief Summary

The aim of study is to compare triple tourniquet vs. single tourniquet to reduce blood loss at open myomectomy.

Detailed Description

Single tourniquet is applied to uterine isthmus to occlude uterine arteries. Triple tourniquet is applied to both infundibulopelvic ligaments and uterine isthmus.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
48
Inclusion Criteria
  • uterine myoma >12 weeks
Exclusion Criteria
  • Pedunculated myoma, broad ligament myoma
  • Hb<10.5 g /dl

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Single tourniquetSingle tourniquet-
Triple tourniquettriple tourniquet-
Primary Outcome Measures
NameTimeMethod
Estimating blood loss at the end of myomectomy15 minutes postoperatifly

Surgical blood loss will be estimated by sum of the volume of suction fluid and blood loss quantitated by gravimetric method.

During surgery, if it is possible, irrigation will not be done, surgical sponge and compress will not be used.

* Suction fluid will be measured at the end of operation and volume of irrigation fluid will be subtracted from total suction volume.

* Surgical drapes, sponges and towels will be weighted before and just after surgery. The blood loss will be estimated as differences in gram by weighing when 1ml blood supposed as 1 gr.

Secondary Outcome Measures
NameTimeMethod
The amount of transfusions7 Days

Erythrocyte transfusions transfusion will be allowed when haemoglobin dropped below 8 g/dL.

Anti-Mullerian Hormone levels variation6 weeks

Anti-Mullerian Hormone levels before and 6 months after surgery

Volume in drains7 days

Drain will be removed when discharge drops below 50 ml/day

A change in hemoglobinAt baseline and 48 hours after surgery

Trial Locations

Locations (1)

Atatürk Universitesi Araştırma Hastanesi

🇹🇷

Erzurum, Yakutiye, Turkey

© Copyright 2025. All Rights Reserved by MedPath