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Large uteri present a challenge during Total lap.hysterectomy and its extraction is another challenge. This study addressees and compare 2 methods of retrieval of large uteri
Despite a number of publications about TLH for large uterus, few surgeons have compared the results of their technique of TLH through the vagina or abdominal bisection. The aim of this study was to compare the clinical results of TLH for large uterus through transvaginal or abdominal bisection approaches after strict preoperative assessment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Experimental | Vaginal bisection of uterus |
|
| Control group | Experimental | Abdominal bisection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vaginal bisection | Procedure | Uterine bisection vaginally by scalpel 24 |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Retrieval time of uterus | Time from end of colpotomy to extraction of uterus | 6 months |
| Blood loss | Amount of blood in suction | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Injury of other organs | Number of cases with intraoperative injuries | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University | Tanta | Gharbia Governorate | 31111 | Egypt |
we will share results and statistical analysis on valuable request
3 months
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2 groups parallel allocation
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Closed envelopes containing allocations
| Abdominal bisection |
| Procedure |
Uterine bisection by endokinfe |
|