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Impact of Misoprostol on Blood Loss In Myomectomy Operations

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ClinicalTrials.gov Identifier: NCT02061657
Recruitment Status : Completed
First Posted : February 13, 2014
Last Update Posted : August 12, 2014
Sponsor:
Information provided by (Responsible Party):
Dr.Ahmed Elnaggar, Ain Shams University

Brief Summary:
The aim of this research work is to assess the effect of using single preoperative dose of rectal misoprostol in abdominal myomectomy operations on blood loss, duration of the operation and possible operative complications

Condition or disease Intervention/treatment Phase
Leiomyoma Drug: Misoprostol Drug: Placebo( for misoprostol) Phase 3

Detailed Description:

This study is a randomized, double-blind, controlled study that will be conducted in Ain Shams University Maternity Hospital.

A total of 50 women scheduled to undergo myomectomy for symptomatic uterine myoma will be included in this study after taking their consent for this clinical trial after full explanation of the trial.

The total of 50 included patients will be divided into two groups: Group A (Study group;): will Include 25 patients undergoing myomectomy operation will receive two tablets of misoprostol (400 mcg) rectally two hours before the operation.Group B (Control group): will Include 25 patients undergoing myomectomy operation will not receive misoprostol before the operation.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 50 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Prevention
Official Title: Phase 1 Study of Misoprostol in Reducing Intraoperative Bleeding in Myomectomy Operations
Study Start Date : June 2013
Actual Primary Completion Date : June 2014
Actual Study Completion Date : July 2014

Resource links provided by the National Library of Medicine

Drug Information available for: Misoprostol

Arm Intervention/treatment
Experimental: Myomectomy, rectal Misoprostol
25 patients undergoing myomectomy operation will receive two tablets of misoprostol (400 mcg) rectally two hours before the operation.
Drug: Misoprostol
25 patients undergoing myomectomy operation will receive two tablets of misoprostol (400 mcg) rectally two hours before the operation
Other Name: Cytotec

Active Comparator: Myomectomy, Placebo
Include 25 patients undergoing myomectomy operation will not receive misoprostol before the operation.
Drug: Placebo( for misoprostol)
Include 25 patients undergoing myomectomy operation will not receive misoprostol before the operation.




Primary Outcome Measures :
  1. intraoperative blood loss [ Time Frame: time from peritoneum opening till its closure around (1 Hour) ]


Information from the National Library of Medicine

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Ages Eligible for Study:   35 Years to 50 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Premenopausal patients aged between 35 to 50 years old.
  • Five or less symptomatic uterine myomas .
  • Maximum diameter of the largest myoma is 6 cm .
  • All myomas are subserous or intramural.
  • Uterine size less than 24 weeks pregnancy

Exclusion Criteria:

  • History of previous surgery.
  • Allergy to Misoprostol.
  • Hypertension.
  • Cardiac and Pulmonary diseases.
  • Patients who have bleeding disorders.
  • Anemia (Hb < 10g %).
  • Chronic endocrine or metabolic diseases such as Diabetes.
  • Obesity (body mass index > 30 kg/m2).
  • Cases that will require intraoperative conversion of myomectomy to hysterectomy.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02061657


Locations
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Egypt
Ain Shams University, Maternity Hospital
Cairo, Egypt
Sponsors and Collaborators
Ain Shams University
Investigators
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Study Chair: Abd El Mgeed I. Abd El Mgeed, Professor Ain Shams University
Study Director: Mohamed S. Ali, Professor Ain Shams University
Principal Investigator: Mohamed A. Abdel-Hafeez, Lecturer Ain Shams University
Principal Investigator: Mina A. Yacoup, Fellow Ain Shams University
Principal Investigator: Ahmed M. Elnaggar, Lecturer Ain Shams University

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Dr.Ahmed Elnaggar, DR, Ain Shams University
ClinicalTrials.gov Identifier: NCT02061657     History of Changes
Other Study ID Numbers: AIN-1111-MM
First Posted: February 13, 2014    Key Record Dates
Last Update Posted: August 12, 2014
Last Verified: July 2014

Additional relevant MeSH terms:
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Leiomyoma
Neoplasms, Muscle Tissue
Neoplasms, Connective and Soft Tissue
Neoplasms by Histologic Type
Neoplasms
Misoprostol
Abortifacient Agents, Nonsteroidal
Abortifacient Agents
Reproductive Control Agents
Physiological Effects of Drugs
Anti-Ulcer Agents
Gastrointestinal Agents
Oxytocics