Comparison Effectiveness of Rectal Misoprostol & Intravenous Tranexamic Acid Reducing Hemorrhage in Myomectomy
NCT06114758 · Status: ACTIVE_NOT_RECRUITING · Type: OBSERVATIONAL · Enrollment: 75
Last updated 2023-11-02
Summary
Fibroids are the most commonly encountered tumors in the female reproductive system. In patients, fibroids most often lead to abnormal uterine bleeding and the resulting anemia. In some cases, they can cause infertility or habitual abortions. Another complaint caused by fibroids is pain due to pressure and effects on adjacent organs. Very large fibroids can lead to abdominal swelling. Therefore, if a patient becomes symptomatic due to fibroids, myomectomy or, if necessary, hysterectomy is required.
Because fibroids have a significant blood supply, there is a high risk of intraoperative bleeding and related complications. Additionally, the most common complication in these patients after the operation is bleeding. In many of these patients, intraoperative or postoperative blood transfusions are performed. If bleeding cannot be intervened early in these patients, hemodynamic instability, shock, coagulopathy, and, in the final stage, death can occur due to hemorrhage. Therefore, both intraoperative and postoperative bleeding control is of vital importance in patients undergoing myomectomy.
Conditions
- Hemorrhage, Surgical
- Myoma;Uterus
- Effect of Drug
- Postoperative Hemorrhage
- Postoperative Complications
Interventions
- DRUG
-
Cytotec 200Mcg Tablet
the admistiration of 400 Mcg rectal cytotec while starting the surgery, just before the patient is covered
- DRUG
-
Transamine
1 gram intravenous slow infusion intraoperatively as we start the laparatomy
Sponsors & Collaborators
-
Ankara Etlik City Hospital
lead OTHER_GOV
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-09-01
- Primary Completion
- 2024-09-01
- Completion
- 2024-11-01
Countries
- Turkey (Türkiye)
Study Locations
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