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Aim and objectives; To compare the efficacy of preoperative administration of dinoprostone 20 mg versus 400 ug misoprostol vaginally in decreasing the amount of bleeding during abdominal myomectomy
Background; Myomectomy is a curative interventional option for many kinds of uterine fibroids, but considerable intraoperative haemorrhage and the necessities for transfusions of blood are still the main challenge for abdomen myomectomy.
Aim and objectives; To compare the efficacy of preoperative administration of dinoprostone 20 mg versus 400 ug misoprostol vaginally in decreasing the amount of bleeding during abdominal myomectomy Subjects and methods; This was a prospective randomized double-blind controlled study that included 90 patients complaining of uterine myoma and indicated for myomectomy selected from the outpatient clinic at Beni-suef university hospital
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dinoprostone | Experimental | Will receive 20 mg of Dinoprostone vaginally 2 hrs. preoperatively. |
|
| Misoprostol | Experimental | will receive 400 μg of Misoprostol vaginally 2 hrs. preoperatively. |
|
| control | No Intervention | received a placebo vaginally 2 hrs. preoperatively. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dinoprostone | Drug | prostaglandin (PG) E2 analog |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood loss | quantity of blood collected in the aspiration apparatus and the quantity of blood on the operative gauze. | all time of the myomectomy operation |
| Measure | Description | Time Frame |
|---|---|---|
| change hemoglobin levels | Pre and Postoperative hemoglobin levels | within 1 week before operation and 24 hours after operation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Beni-Suef University | Faculty of Medicine Beni-Suef University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beni-suef university | Banī Suwayf | Egypt |
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| ID | Term |
|---|---|
| D047708 | Myofibroma |
| ID | Term |
|---|---|
| D009372 | Neoplasms, Connective Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D015232 | Dinoprostone |
| D016595 | Misoprostol |
| ID | Term |
|---|---|
| D011458 | Prostaglandins E |
| D011453 | Prostaglandins |
| D015777 | Eicosanoids |
| D005231 | Fatty Acids, Unsaturated |
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| Misoprostol | Drug | prostaglandin (PG) E1 analog |
|
|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D005227 |
| Fatty Acids |
| D008055 | Lipids |
| D012898 | Autacoids |
| D018836 | Inflammation Mediators |
| D001685 | Biological Factors |
| D011459 | Prostaglandins E, Synthetic |
| D011465 | Prostaglandins, Synthetic |