Using ultrasound to assess blood loss after gynecological surgery
Ultrasound Use to Estimate the Amount of Intra-abdominal Blood Following Gynecological Surgeries and the Association With Postoperative Outcomes. A Prospective Cohort Study
This study is testing if using ultrasound to check blood flow after gynecological surgery can help doctors better understand recovery and improve care for women.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 250 (estimated) |
| Ages | 18 Years to 70 Years |
| Sex | Female |
| Sponsor | Holy Family Hospital, Nazareth, Israel Academic / other |
| Locations | 1 site (Nazareth) |
| Trial ID | NCT06953141 on ClinicalTrials.gov |
What this trial studies
This prospective cohort study aims to evaluate intra-abdominal blood volume and hemodynamic status in women undergoing gynecological surgery by measuring the diameter of the inferior vena cava (IVC) using advanced ultrasound techniques within 24 hours post-surgery. The study will investigate the relationship between ultrasound findings and various postoperative outcomes, including hemoglobin drop, blood transfusion needs, pain levels, infection rates, and length of hospital stay. Approximately 250 women undergoing laparotomy, laparoscopy, or vaginal surgery at Holy Family Hospital will be enrolled, with the goal of developing reference normograms for fluid volume and IVC parameters to enhance postoperative care.
Who should consider this trial
Good fit: Ideal candidates for this study are women aged 18 and older who are undergoing laparotomy, laparoscopy, or vaginal pelvic surgery.
Not a fit: Patients undergoing minor procedures or those with known coagulation disorders or requiring ICU admission may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved detection of intra-abdominal bleeding, potentially reducing complications and unnecessary interventions in postoperative care.
How similar studies have performed: While there is limited data on the specific use of ultrasound in this context, similar studies have shown promise in using ultrasound for assessing fluid status and guiding postoperative care.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Women aged 18 years and older * Undergoing gynecological surgery including laparotomy, laparoscopy, and vaginal pelvic surgery * Able to provide informed consent Exclusion Criteria: * Undergoing minor procedures (e.g., dilation and curettage, hysteroscopy, or cervical conization) * Known preoperative coagulation disorders * Postoperative admission to the intensive care unit (ICU) * Clinical indication requiring ultrasound as part of standard postoperative care
Where this trial is running
Nazareth
- Holy Family hospital, Nazareth — Nazareth, Israel (Recruiting)
Study contacts
- Study coordinator: Raed Salim, MD
- Email: r.salim@hfhosp.org
- Phone: +972544986960
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.