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Total Laparoscopic Hysterectomy clinical trials

View clinical trials related to Total Laparoscopic Hysterectomy.

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NCT ID: NCT06111404 Recruiting - Clinical trials for Total Laparoscopic Hysterectomy

Urinary Bladder Dissection During Total Laparoscopic Hysterectomy in Cases With Previous Cesarean Section

Start date: January 22, 2023
Phase: N/A
Study type: Interventional

Mobilization of the urinary bladder off of the cervix is an important step in total laparoscopic hysterectomy, and is always performed before dealing with the uterine pedicle. If the uterus is unscarred, bladder mobilization may not be technically difficult. However, if the uterus is scarred, there can be adhesions not only between the uterus and the bladder but also to the anterior abdominal wall, which can make dissection challenging. Studies of the effects of closure or nonclosure of the peritoneum during cesarean delivery on adhesion formation have concluded that insufficient data are available and that adequately powered and designed trials are needed. As regards the lateral approach, this space was first described by Dr. Shrish Sheth utilizing the utero-cervical broad ligament in post cesarean cases during vaginal hysterectomy. He described that the lateral area; the two leaves of broad ligament remains free and allows easy possibility for entry to dissect whether vaginally or abdominally. While in medial approach, a metal catheter was then inserted in the bladder. The catheter was rotated so the tip was pointing upward, to stretch the bladder pillars. The bladder was dissected with monopolar scissors with the catheter in place.

NCT ID: NCT05720884 Recruiting - Clinical trials for Total Laparoscopic Hysterectomy

Acupuncture for Blood Pressure Fluctuation During Total Laparoscopic Hysterectomy

ASBP
Start date: October 23, 2023
Phase: N/A
Study type: Interventional

The goal of this pilot clinical trial is to learn about efficacy of acupuncture about blood pressure fluctuation during total laparoscopic hysterectomy in patients with uterine fibroid. Participants will receive two times of acupuncture treatment before surgery and researchers will compare to see if acupuncture treatment would stabilize blood pressure fluctuation especially from induction time to post-incision moment.

NCT ID: NCT05028543 Recruiting - Clinical trials for Total Laparoscopic Hysterectomy

TLH With Prior Uterine Artery Clipping at Its Origin Versus Conventional TLH

TLH
Start date: August 21, 2021
Phase: N/A
Study type: Interventional

A randomized controlled trial was done on 30 women planned for TLH, and divided into two groups; group A includes women that will be subjected to conventional TLH, and group B includes women that will be subjected to TLH with prior uterine artery clipping at its origin. Both grouped will be compared regarding the blood loss, operation time, intraoperative complications and post-operative follow-up

NCT ID: NCT01289314 Recruiting - Dysmenorrhea Clinical Trials

Long Term Outcomes Following Total Laparoscopic Hysterectomy and Laparoscopic Supracervical Hysterectomy

Start date: February 2011
Phase: N/A
Study type: Interventional

Objective: To compare the occurrence and intensity of pelvic pain as well as patient satisfaction and quality of life after total laparoscopic and laparoscopic supracervical hysterectomy. Design: Prospective randomised trial. Null hypothesis 1: There is no significant difference in occurrence and intensity of pelvic pain following TLH compared with following LSH. Null hypothesis 2: There is no significant difference in patient satisfaction and quality of life following TLH compared with following LSH.