- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02733952
Intravenous Tranexamic Acid Versus Pericervical Tourniquet To Decrease Blood Loss In Trans-Abdominal Myomectomy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Mohamad A Ismail, MD
- Phone Number: 002 01200523523
- Email: mohamad.abdelhamid@hotmail.com
Study Contact Backup
- Name: Ahmad M BahaaEldin, MD
- Phone Number: 002 01111700556
- Email: abahaa0503@yahoo.com
Study Locations
-
-
-
Cairo, Egypt, 02002
- Recruiting
- Ain shams university maternity hospital
-
Contact:
- Mohamad A Ismail, MD
- Phone Number: 002 01200523523
- Email: mohamad.abdelhamid@hotmail.com
-
Contact:
- Ahmed M Bahaaeldein, MD
- Phone Number: 002 01111700556
- Email: abahh0503@yahoo.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- • Women in the reproductive age (20 - 40 years) diagnosed as having uterine fibroids who are consenting to have trans-abdominal myomectomy in the postmenstrual period diagnosed by:
Clinical symptoms and signs:
- Abnormal uterine bleeding (menorrhagia or (and) metrorrhagia).
- Pain (dull aching lower abdominal pain or dysmenorrhea).
- Pressure symptoms (dyspareunia, dysuria, dyschezia or (and) backache).
- Progressive abdominal enlargement (abdominal swelling).
All women with clinical presentation suggestive of uterine fibroid will undergo abdominal and trans-vaginal ultrasound to confirm the clinical diagnosis and to exclude patients with:
- Submucous uterine myomas.
- Cervical or supracervical myomas.
- Broad ligamentary and pedunculated myomas.
- Associated pelvic pathology.
Ultrasound criteria of uterine fibroids of included patients:
- Maximum diameter of the largest fibroid is greater than 4cm.
- Maximum number of uterine myomas is not to be more than 5 myomas.
- Uterine fibroid may be subserous or intramural.
Exclusion Criteria:
- Obesity (body mass index >30 kg/m2).
- Cardiac, endocrine, pulmonary or hematological disease (including anemia; hemoglobin level below 10gm/dl).
- Patients known to be allergic to tranexamic acid.
- Patients who received pre-operative hormonal therapy (such as a GnRH analogue).
- Patients presented by or with suspected malignant gynecological disease.
- Patients diagnosed as having submucous uterine fibroids, cervical or supracervical fibroids, broad ligamentary fibroids and pedunculated fibroids.
- Patients with contraindication to general anaesthesia.
- Patients with positive pregnancy test.
- Virgin patients.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: tranexamic acid
bolus intravenous injection of tranexamic acid 10mg/kg (maximum1g) 15 min before incision followed by continuous infusion of 1mg/kg/h dissolved in 1L of saline for 10 h (maximum 1 g/10 h) |
Other Names:
|
Active Comparator: Pericervical Tourniquet
The tourniquet method will be used where the urinary bladder will be dissected downwards from the lower uterine segment, and then a perforation will be made in the posterior leaflet of the broad ligament bilaterally at the level of uterine isthmus.
A tourniquet (using 16- inch Foley catheter) will be passed through the perforation encircling the uterine arteries bilaterally.
The Fallopian tubes and the ovaries will be carefully excluded from the line of the tourniquet to avoid direct compression and necrosis.
The tourniquet will be released intermittently (at about 30 minutes interval) during the surgery and finally removed after the repair of the uterus
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Estimated intra-operative blood loss measured in milliliters
Time Frame: first 24 hours postoperative
|
first 24 hours postoperative
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The need for intra-operative blood transfusion
Time Frame: 1 hour
|
It is indicated when intra-operative blood loss exceeds 15% of the patient's estimated blood volume, which is equal to the patient's weight in kilograms multiplied by 10
|
1 hour
|
The need for conversion from myomectomy to hysterectomy
Time Frame: 1 hour
|
It is indicated when there is uncontrolled intra-operative hemorrhage affecting the patient's vital signs and not responsive to conservative measures or when it is impossible to reconstruct the uterus because of the many defects left by the removal of multiple fibroids
|
1 hour
|
Operative time in minutes
Time Frame: 1 hour
|
1 hour
|
|
Intra-operative or post-operative complications
Time Frame: 24 hours
|
24 hours
|
|
Difference between Pre and post-operative hemoglobin and hematocrit levels
Time Frame: 24 hours
|
Postoperative hemoglobin and hematocrit levels are to be measured 24 hours after the operation via a venous blood sample).
|
24 hours
|
Duration of hospital stay in days
Time Frame: 7 days
|
7 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Ahmad M BahaaEldin, MD, Ain shams university maternity hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ASUObGyn
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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