Urinary Bladder Dissection During Total Laparoscopic Hysterectomy in Cases With Previous Cesarean Section

Launched by MANSOURA UNIVERSITY · Oct 26, 2023

Keywords

ClinConnect Summary

This clinical trial is studying a specific surgical technique during total laparoscopic hysterectomy, particularly for women who have had a previous cesarean section. The goal is to understand how to safely and effectively mobilize the urinary bladder from the cervix, especially when there are scar tissues from prior surgeries that could make this process more challenging. By exploring different approaches to this procedure, the researchers hope to improve outcomes and reduce complications for women undergoing this surgery.

To be eligible for this trial, participants should be women planning to have a total laparoscopic hysterectomy for non-cancerous conditions like heavy menstrual bleeding or uterine fibroids, and they must have a history of cesarean section. However, women with certain conditions, such as endometriosis or previous abdominal surgeries, will not be included. Participants can expect to be part of a study that aims to enhance surgical techniques, and they will receive careful monitoring throughout the procedure to ensure their safety. This trial is currently recruiting participants, and it seeks to gather important data that could benefit future patients.

Gender

FEMALE

Eligibility 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