Comparing Terlipressin and Carbetocin for reducing blood loss during myomectomy
Official title: The Effect of Intramyometrial Injection of Terlipressin Versus Carbitocin on Hemoglobin and Blood Loss During Open Myomectomy Operations Without Using Haemostatic Tourniquets.
Run by Wael Elbanna Clinic · NCT05266534 · Data updated 2026-11-12
This study is testing whether injections of Terlipressin or Carbetocin can help reduce blood loss during surgery to remove fibroids in women.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 16 Years to 40 Years |
| Sex | Women only |
| Enrollment | 162 (estimated) |
| Sponsor | Wael Elbanna Clinic Academic / other |
| Locations | 1 site (Maadi) |
| Status | Recruiting |
| Started | December 30, 2021 |
| Main results expected | June 30, 2024 |
| Study ends | December 30, 2026 |
| Registry record updated | March 4, 2022 |
| Trial ID | NCT05266534 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are women aged 16-45 with myoma-related symptoms and appropriate medical status for open surgery.
✕Probably not a fit
Patients with a history of bleeding disorders or those requiring concurrent surgeries may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effectiveness of intramyometrial injections of Terlipressin versus Carbetocin in reducing hemoglobin loss and blood loss during open myomectomy procedures without the use of haemostatic tourniquets. It is a prospective, double-blinded, randomized, placebo-controlled trial conducted at Wael ElBanna Clinic and the NRC site. Participants will be randomly assigned to one of three groups: Terlipressin, Carbetocin, or saline, and their medical records will be reviewed to assess outcomes. The study aims to provide evidence that could influence clinical practices in gynecology.
Why it matters
Potential benefit: If successful, this study could lead to improved management of blood loss during myomectomy, enhancing patient safety and outcomes.
How similar studies have gone: While similar approaches have been explored, this specific comparison of Terlipressin and Carbetocin in this context is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteri * Women aged 16-45 yearsAppropriate medical status for open surgery (Largest Myoma size from 4 cm up to 20 cm) * Baseline hemoglobin ≥9 g/dl * No contra-indications to the use of glyopressin or carbitocin * Myoma-related symptoms, such as pelvic pressure or pain,menorrhagia, or infertility * Not pregnant at the time of presentation (i.e., negative urine pregnancy test or last menstrual period within the last 4 weeks) Exclusion Criteria * Open myomectomy using mechanical tourniquet * Previous myomectomy * History of bleeding disorders * Concurrent anticoagulation therapy * History of Uncontrolled ischaemic heart disease * Any pelvic abnormalities requiring concomitant surgery * Treatment with a GnRH agonist or ulipristal acetate within three months preceding surgery * Inability to understand and provide written informed consent
Where it's running
-
Wael El Banna Clinic
Maadi, Egypt Recruiting
Study contacts
- Study coordinator: Wael El Banna
- Email: waelelbanna@drwaelelbanna.com
- Phone: 01227760402
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Uterine artery ligation versus pericervical tourniquet to reduce bleeding during open myomectomy
This trial will test whether tying the uterine arteries or using a pericervical tourniquet better reduces blood loss during open myomectomy for women with symptomatic uterine fibroids.
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Ergometrine versus carbetocin to reduce bleeding during abdominal myomectomy
This study will see if injecting ergometrine or carbetocin into the uterus during abdominal myomectomy reduces blood loss in women having surgery for symptomatic fibroids.
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Temporary Clamping of Uterine and Ovarian Vessels During Minimally Invasive Myomectomy
This study tests whether temporarily blocking blood flow from the uterine and ovarian arteries during minimally invasive myomectomy reduces blood loss for patients with large or multiple fibroids.
-
Preventing bleeding during myomectomy with misoprostol
This will test whether giving misoprostol before myomectomy reduces surgical bleeding in women aged 18–43 having surgery for symptomatic uterine fibroids.
-
Preventing adhesions after myomectomy surgery
This study is testing whether a special gel used during myomectomy surgery can help prevent scar tissue from forming in women aged 18 to 45, which could improve their chances of getting pregnant later.
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Does minimally invasive fibroid removal change whether fallopian tubes are open?
This study will test if fallopian tubes are open before and after minimally invasive fibroid removal in people having myomectomy.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.