Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

Removing fallopian tubes and ovaries during vaginal hysterectomy: energy-sealing device versus standard technique

Official title: Energy-based Opportunistic Salpingo-oophorectomy During Vaginal Hysterectomy - is it Better Than Conventional "Knot-and-cut" Approach? A Randomized Controlled Study

Run by Wolfson Medical Center · NCT07379411 · Data updated 2026-11-12

This trial tests whether using a LigaSure energy-sealing device to remove the fallopian tubes and ovaries during vaginal hysterectomy is safer, faster, or causes less blood loss and pain than the standard clamping, cutting, and suturing method for women with pelvic organ prolapse.

More Pelvic Organ Prolapse (POP) trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment70 (estimated)
SponsorWolfson Medical Center
Government
Locations1 site (Holon)
StatusRecruiting
StartedOctober 16, 2025
Main results expectedSeptember 2027
Study endsSeptember 2027
Registry record updatedJanuary 30, 2026
Trial IDNCT07379411 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women aged 18 or older scheduled for vaginal hysterectomy for pelvic organ prolapse who are recommended to undergo salpingo‑oophorectomy and can give informed consent are ideal candidates.

Probably not a fit

Patients with suspected or known pelvic malignancy, those planning a non‑vaginal or vNOTES approach, or those whose anatomy requires a different technique are unlikely to benefit from this comparison.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective, randomized controlled trial at a single center compares the LigaSure Maryland energy-based vessel-sealing device with the conventional clamp‑cut‑suture technique for opportunistic salpingo‑oophorectomy during vaginal hysterectomy for pelvic organ prolapse. Eligible women who are recommended to have salpingo‑oophorectomy at the time of their vaginal hysterectomy are randomly assigned to one of the two surgical approaches. The trial measures procedure duration, intraoperative blood loss, postoperative pain, length of hospital stay, and complication rates, with intraoperative deviations noted as exclusions. Patients with suspected pelvic malignancy or those planned for non‑vaginal approaches such as vNOTES are excluded.

Why it matters

Potential benefit: If successful, the LigaSure approach could shorten operating time, reduce blood loss and postoperative pain, and shorten hospital stay compared with the traditional technique.

How similar studies have gone: Energy-based vessel-sealing devices have demonstrated reduced operative time and blood loss in other gynecologic procedures, but randomized data specifically for opportunistic salpingo‑oophorectomy during vaginal hysterectomy are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Women aged 18 years or older.
* Scheduled to undergo vaginal hysterectomy for pelvic organ prolapse.
* Recommended to undergo opportunistic salpingo-oophorectomy according to standard clinical indications.
* Able and willing to provide written informed consent.

Exclusion Criteria:

* Suspected or known pelvic malignancy.
* Lack of informed consent.
* Planned opportunistic salpingo-oophorectomy using a non-vaginal surgical approach.
* Planned opportunistic salpingo-oophorectomy using a vNOTES (vaginal natural orifice transluminal endoscopic surgery) approach.
* Intraoperative need to deviate from the assigned surgical technique due to anatomical or technical considerations.

Where it's running

  • Wolfson Medical Center
    Holon, Israel
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.