Bladder dissection techniques during laparoscopic hysterectomy for women with previous cesarean sections
Lateral Versus Central Urinary Bladder Dissection During Total Laparoscopic Hysterectomy in Cases With Previous Cesarean Section: A Randomized Controlled Study
This study tests different ways to move the bladder during laparoscopic hysterectomy in women with previous cesarean sections to see which method leads to fewer problems and better results.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 66 (estimated) |
| Sex | Female |
| Sponsor | Mansoura University Academic / other |
| Locations | 1 site (Mansoura) |
| Trial ID | NCT06111404 on ClinicalTrials.gov |
What this trial studies
This clinical trial investigates different techniques for mobilizing the urinary bladder during total laparoscopic hysterectomy in women who have had previous cesarean sections. The study aims to compare central and lateral bladder dissection methods to determine which approach is more effective in minimizing complications and improving surgical outcomes. By focusing on patients with cesarean scars, the trial addresses the challenges posed by adhesions that can complicate bladder mobilization. The findings could provide valuable insights into optimizing surgical techniques for this common procedure.
Who should consider this trial
Good fit: Ideal candidates for this study are women undergoing total laparoscopic hysterectomy for benign conditions who have a history of cesarean section.
Not a fit: Patients with prior abdominal surgeries other than cesarean sections or those with contraindications to laparoscopic surgery may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved surgical outcomes and reduced complications for women undergoing laparoscopic hysterectomy after cesarean delivery.
How similar studies have performed: While there is limited data on the specific techniques being tested, previous studies have indicated the need for improved methods in laparoscopic hysterectomy, suggesting potential for success in this area.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: .Patients undergoing total laparoscopic hysterectomy for benign conditions (e.g., dysfunctional uterine bleeding, adenomyosis and uterine fibroids) with presence of previous cesarean section scar. Exclusion Criteria: * Patients with prior abdominal surgery other than CS. * Patients treated with concomitant surgery, including laparoscopic pelvic lymphadenectomy, posterior vaginal colporrhaphy and tension-free vaginal or obturator tape procedures. * Tubo-ovarian abscess. * Endometriosis. * Pelvic tuberculosis. * Pelvic organ prolapses. .Patients with relative contraindication to general anesthesia (e.g. chronic liver cell failure. .Patients with contraindication to laparoscopic surgery (e.g. severe cardio-pulmonary dysfunction). * Bleeding tendency (e.g. anticoagulants, platelets disorders) * Body mass index more than 35 Kg/m2
Where this trial is running
Mansoura
- Mansoura University — Mansoura, Egypt (Recruiting)
Study contacts
- Principal investigator: ahmed elawady, M.Sc — Mansoura University
- Study coordinator: Ahmed Elawady, M.Sc
- Email: megivemefromme@yahoo.co.uk
- Phone: 01091474582
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.