Efficacy of In-bag Morcellation (FIBROSAC)
Laparoscopic mini-invasive surgery supplanted laparotomy for many years, including hysterectomy or myomectomy (less postoperative complications compared to laparotomy) However the US Federal Drug Administration (FDA) strongly warned against the use of power morcellation in 2014 because of the risk of iatrogenic spread of malignant cells.
The hypothesis is that in-bag morcellation may prevent cells dissemination. The investigator compare in this prospective randomized study two groups of patients: group A (in bag-morcellation during laparoscopic myomectomy or hysterectomy) versus group B (morcellation without any bag during laparoscopic myomectomy or hysterectomy)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Bron, France, 69500
- Gynaecology Department, Hôpital Femme Mère Enfant
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Women aged 18 years or more
- Laparoscopic myomectomy or laparoscopic subtotal hysterectomy
- Informed and signed consent
Exclusion Criteria:
- Interview revealing disorder entailing unacceptable risk of postoperative complications: coagulation disorder, immune system disorder, evolutive disease, etc.
- Preoperative risk of leiomyosarcoma or pelvic carcinoma
- Pregnancy or desire of pregnancy during the study period
- Uterus or myomas weight above 1.000 g
- Inability to understand information provided
- Not covered by a national health insurance scheme, prisoner or under administrative supervision
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: with in-bag morcellation
with More-cell-Safe AMI bag morcellation
|
laparoscopic myomectomy or hysterectomy with More-cell-Safe AMI bag morcellation
|
|
Active Comparator: without any morcellation bag
|
laparoscopic myomectomy or hysterectomy without any morcellation bag
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Smooth muscular cells in the peritoneal fluid after morcellation
Time Frame: Day 0 - just after surgery
|
After morcellation, there will be cytology and immunohistochemistry of peritoneal washing with 500cc of saline serum
|
Day 0 - just after surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
duration of surgery
Time Frame: Day 0
|
Day 0
|
|
|
morcellation time
Time Frame: Day 0 - during surgery
|
Day 0 - during surgery
|
|
|
peritoneal washing time
Time Frame: Day 0 - during surgery
|
Day 0 - during surgery
|
|
|
residual morcellated tissues weight
Time Frame: Day 0 - during surgery
|
Day 0 - during surgery
|
|
|
bag associated time
Time Frame: Day 0 - during surgery
|
Day 0 - during surgery
|
|
|
ease of use
Time Frame: Day 0 - during surgery
|
assessment by a visual analogical scale
|
Day 0 - during surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Gautier CHENE, MD, Gynaecology Department, Hôpital Femme Mère Enfant, HCL
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 69HCL16_0714
- 2017-A01773-50 (Other Identifier: ID-RCB)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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