RecruitingNot ApplicableNCT07200778

Reducing Operative Blood Loss in Laparoscopic Myomectomy With Umbilico-uterine Trunk Clipping


Sponsor

Minia University

Enrollment

66 participants

Start Date

Sep 11, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

the purpose of this study is to examine how Umbilico-uterine trunk occlusion reduces surgery-associated blood loss in Laparoscopic Myomectomy.


Eligibility

Sex: FEMALEMin Age: 19 YearsMax Age: 45 Years

Inclusion Criteria4

  • Age between 19 and 45
  • Symptoms of menorrhagia, pelvic pain, or infertility
  • Plan to have a laparoscopic myomectomy
  • Number of myomas ≤ 4, with the largest myoma measuring ≤ 9 cm

Exclusion Criteria6

  • Postmenopausal status
  • Dominant pedunculated subserosal FIGO classification (6-7)
  • Submucosal type of myoma FIGO classification (0-2)
  • Suspicion of malignant uterine or adnexal diseases
  • Major medical comorbidities or psychiatric illnesses that could affect follow-up and/or compliance
  • Refusal to participate or provide consent to the procedures.

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Interventions

PROCEDUREumbilico-uterine trunk occlusion

participants will undergo umbilico-uterine trunk occlusion during laparoscopic myomectomy

PROCEDURElocal epinephrine infiltration

participants will undergo local injections of epinephrine into the serosal and/or myometrium, covering the myoma before the uterine incision during laparoscopic myomectomy


Locations(1)

Minia advanced laparoscopy unit

Minya, Egypt

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NCT07200778