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A Modified Technique for Laparoscopic Subtotal Hysterectomy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02328274
Recruitment Status : Completed
First Posted : December 31, 2014
Last Update Posted : December 31, 2014
Information provided by (Responsible Party):
Yi-Chen Chuang, Far Eastern Memorial Hospital

Brief Summary:
Laparoscopic subtotal hysterectomy (LASH) for benign uterine lesion has regained its popularity in the past decade due to its minimal invasiveness that results in less operation time, less blood loss and quicker return to normal activity. The standard surgical procedure in LASH includes separation of adnexa and round ligament from pelvic sidewall or uterus, dissection of the vesico-uterine peritoneum and opening of the paravesical space; followed by amputation of the uterus with energy-producing modalities (such as Harmonic Scalpel, monopolar electrocautery, bipolar electrocautery). Large uteri may result in longer operative time and higher possibility of conversion to laparotomy due to technical difficulty and excessive blood loss. In order to overcome these difficulties, we introduce a modified surgical technique of LASH which incorporated two methods of vessels ligation and laparoscopic in situ morcellation.

Condition or disease Intervention/treatment
Subtotal Hysterectomy Procedure: A Modified Technique for Laparoscopic Subtotal Hysterectomy

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Study Type : Observational
Actual Enrollment : 19 participants
Observational Model: Case-Only
Time Perspective: Retrospective
Study Start Date : August 2014
Actual Primary Completion Date : September 2014
Actual Study Completion Date : November 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hysterectomy

Intervention Details:
  • Procedure: A Modified Technique for Laparoscopic Subtotal Hysterectomy
    incorporation of two methods of vessels ligation and laparoscopic in situ morcellation

Primary Outcome Measures :
  1. Operation time [ Time Frame: at time of surgery ]
  2. Intraoperative blood loss [ Time Frame: at time of surgery ]

Secondary Outcome Measures :
  1. Post-operative complications [ Time Frame: up to 7 days post operation ]
    such as ureteral injury, bowel perforation, conversion to laparotomy, recurrent vaginal bleeding

Information from the National Library of Medicine

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Ages Eligible for Study:   20 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
patients aged 20 years old and above with symtomatic uterine myomas or adenomyosis

Inclusion Criteria:

  • patients aged 20 years old and above with symtomatic uterine myomas or adenomyosis
  • complete medical record

Exclusion Criteria:

  • patients aged below 20 years old
  • uterine malignancy
  • incomplete medical record
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Responsible Party: Yi-Chen Chuang, M.D, Far Eastern Memorial Hospital Identifier: NCT02328274    
Other Study ID Numbers: 103138-E
First Posted: December 31, 2014    Key Record Dates
Last Update Posted: December 31, 2014
Last Verified: December 2014