RecruitingNot ApplicableNCT06913335

Comparison Between Electrosurgical Energy and Hemostatic Sealants on Hemostasis in Laparoscopic Ovarian Cystectomy

Optimizing Hemostasis in Laparoscopic Ovarian Cystectomy: A Comparison Between Electrosurgical Energy and Hemostatic Sealants.

Sponsor

Kafrelsheikh University

Enrollment

58 participants

Start Date

Apr 1, 2025

Study Type

INTERVENTIONAL

Conditions

Ovarian Cysts

Summary

The aim of this study is to compare between the effect of using electrosurgical energy and hemostatic sealant for hemostasis in laparoscopic cystectomy for ovarian cysts.

Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 50 Years

Plain Language Summary

Simplified for easier understanding

This study is comparing two methods surgeons use to stop bleeding during laparoscopic surgery to remove ovarian cysts: electrosurgical energy (heat-based cutting and sealing) versus hemostatic sealant products (biological glue-like agents that stop bleeding). **You may be eligible if...** - You are a woman aged 18 or older (but not post-menopausal) - You have a benign ovarian cyst on one or both ovaries confirmed by ultrasound and normal tumor markers - You are fit for laparoscopic (keyhole) surgery **You may NOT be eligible if...** - You are pregnant or post-menopausal - You have not yet started menstruation - You have had recent pelvic or abdominal radiation therapy - You have a known or suspected ovarian cancer - You have a blood clotting disorder - You have a serious systemic illness Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDURElaparoscopic ovarian cystectomy using hemostatic sealant

* A small incision will be made on the ovarian surface using laparoscopic scissors. * Nontraumatic grasping forceps will be used to dissect the cyst capsule away from the soft tissue of the ovary. * The cyst will be removed intact to avoid spillage of its contents. If rupture occurs, the peritoneal cavity will be irrigated thoroughly. * After the removal of the cyst, the ovarian bed should be inspected for bleeding, and if there is minimal bleeding, using of electrocautery should be avoided to minimize thermal damage to the ovary. * The hemostatic sealant as Surgicel original, Surgicel Fibrillar (ETHICON, USA) which is an absorbable hemostat (oxidized regenerated cellulose) will be applied directly to the bleeding surface 1:5sheets of hemostat will be used.

PROCEDURElaparoscopic ovarian cystectomy using electrosurgical energy

A small incision will be made on the ovarian surface using laparoscopic scissors. * Nontraumatic grasping forceps will be used to dissect the cyst capsule away from the soft tissue of the ovary. * The cyst will be removed intact to avoid spillage of its contents. If rupture occurs, the peritoneal cavity will be irrigated thoroughly. * After the removal of the cyst, the ovarian bed should be inspected for bleeding, and if there is minimal bleeding, using of electrocautery should be avoided to minimize thermal damage to the ovary In the electrosurgical energy using group the hemostasis method will be different and will be achieved using electrosurgical energy. * After the cyst removal and cyst bed examination, any bleeding will be carefully coagulated using bipolar electrosurgical energy * Minimal energy will be applied for short durations to reduce collateral thermal