Patient Satisfaction Clinical Trial
Official title:
Reducing Postoperative Bleeding After Hysterectomy Via Independent Closure of Vaginal Cuff Angles
NCT number | NCT05174988 |
Other study ID # | E22006 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | January 31, 2022 |
Est. completion date | August 7, 2023 |
Verified date | September 2023 |
Source | Texas Tech University Health Sciences Center, El Paso |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The investigators propose prospectively evaluating if adding separate sutures to the angles of the vaginal cuff before running barbed suture reduces the incidence of patient's perception of bleeding after surgery.
Status | Completed |
Enrollment | 117 |
Est. completion date | August 7, 2023 |
Est. primary completion date | August 7, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 60 Years |
Eligibility | Inclusion Criteria: - • Pre-menopausal patients scheduled to undergo hysterectomy via laparoscopic/robotic approach for benign indications (Ages 18-60, who have had at least one menstrual cycle in the last year). Exclusion Criteria: - Patient's that incur in an intraoperative bowel or urologic injury during the hysterectomy that requires repair. If injury occurs after randomization (during vaginal cuff closure), this will be recorded and reviewed by the study's safety officer - Patients scheduled to undergo a concomitant vaginal procedure (Mid-urethral sling, anterior/posterior repair) - Patients scheduled to undergo pelvic floor repair (utero-sacral ligament suspension) - Patients with known preoperative malignancy - Patients in which a total hysterectomy is not completed |
Country | Name | City | State |
---|---|---|---|
United States | Texas Tech University Health Scince Center El Paso | El Paso | Texas |
Lead Sponsor | Collaborator |
---|---|
Texas Tech University Health Sciences Center, El Paso |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | pain quantification on 0-10 scale | Pelvic pain scale from 0-10 assessed at postoperative visit, with 10 representing worse pain imaginable, and 0 representing no pain | 10-20 days post intervention | |
Primary | postoperative bleeding frequency | Survey regarding postoperative vaginal bleeding- only if they are experiencing bleeding (categorical including Daily | Most days | Infrequent | 10-20 days post intervention | |
Primary | prolonged bleeding | yes or no if any vaginal bleeding in the last 2 weeks | 90-110 days after intervention | |
Primary | postoperative bleeding volume | Survey regarding postoperative vaginal bleeding- only if they are experiencing bleeding (categorical including Only when using restroom| Spotting throughout day | More than spotting | 10-20 days post intervention | |
Secondary | Pain with sex on a 0-10 scale | Subjective scoring per patient of pain during intercourse on a scale of 0-10, where 10 is worst pain imaginable and 0 is no pain. | 90-110 days after intervention | |
Secondary | ER visits | emergency department visits related to surgery (yes or no) | 90-110 days | |
Secondary | Physical functioningSF36 | Calculated score Result from SF-36 (Short form-36 health survey) Range 0-100, with 100 representing the maximum of each particular outcome) | 90-110 days | |
Secondary | PainSF36 | Calculated score Result from SF-36 (Short form-36 health survey) Range 0-100, with 100 representing the maximum of each particular outcome) | 90-110 days | |
Secondary | General healthSF36 | Calculated score Result from SF-36 (Short form-36 health survey) Range 0-100, with 100 representing the maximum of each particular outcome) | 90-110 days | |
Secondary | Role limitations due to physical healthSF36 | Calculated score Result from SF-36 (Short form-36 health survey) Range 0-100, with 100 representing the maximum of each particular outcome) | 90-110 days | |
Secondary | Operative time | Vaginal cuff closure time in minutes recorded during the surgery. Start time begins when first suture and sewing instruments are in abdomen with the intention of closing vaginal cuff. Stop time is when last suture pertaining to vaginal cuff closure/apex stitches is cut. | During the surgery. Start time begins when first suture and sewing instruments are in abdomen with the intention of closing vaginal cuff. Stop time is when last suture pertaining to vaginal cuff closure/apex stitches is cut. |
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