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Comparing standard midline approach with the modified approach in management of morbid obese patients with gynecologic cancers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Midline approach | Active Comparator | Standard midline incision, then optimal debulking (hysterectomy + lymphadenectomy +/- omentectomy). |
|
| Modified approach | Active Comparator | Panniculectomy with vertical incision of the rectus sheath then optimal debulking (hysterectomy + lymphadenectomy +/- omentectomy). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Approach for cancer resection | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Oncologic outcome | measured by number of lymph nodes retrieved and rate of optimal debulking. | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Operative time | 1 day | |
| Postoperative procedure related morbidity | Wound and chest complications | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Islam H Metwally, MSc, MRCS | Contact | 01002985865 | 020 | drislamhany@mans.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oncology center Mansoura University | Recruiting | Al Mansurah | Dakahlia Governorate | 35516 | Egypt |
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| ID | Term |
|---|---|
| D002583 | Uterine Cervical Neoplasms |
| ID | Term |
|---|---|
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
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| Blood loss |
intraoperative |
| 1 day |
| Hospital stay | 1 month |
| D009369 |
| Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |