Liga Sure Versus Conventional Suture Ligature for Decrease Blood Loss During Abdominal Hysterectomy
1 other identifier
interventional
90
1 country
1
Brief Summary
Liga Sure represents a novel principle for hemostatic sealing of vessel-containing tissue based on feedback-programmed dosage of bipolar diathermy.(5) According to marketing of the device, Liga Sure has the potential to replace the use of conventional suture ligature within a broad range of surgical procedures, also including removal of the uterus. While the use of Liga Sure has been critically assessed for a range of procedures such as hemorrhoidectomy, splenectomy, bile duct, urological and gastric operations,(6-12) a similar scientific evaluation of its suitability for abdominal removal of the uterus is lacking in the literature. The most promising aspect of Liga Sure in hysterectomy is the potential shorter operation time and decrease blood loss. Because removal of the uterus traditionally is the most frequently performed major gynecological operation,(13) the introduction of a time-sparing new technique could have significant impact on resource consumption. The aim of the study: we aimed at evaluating the use of Liga Sure compared with conventional suture ligature during abdominal hysterectomy, in a prospective randomized controlled trial with special emphasis on the safety, the duration of the procedure and the amount of blood loss.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2018
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2018
CompletedFirst Submitted
Initial submission to the registry
April 7, 2018
CompletedFirst Posted
Study publicly available on registry
April 23, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2019
CompletedJanuary 7, 2020
January 1, 2020
1.7 years
April 7, 2018
January 6, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
decrease blood loss during hysterectomy
Blood loss well be estimated by a combination of direct measurement and gravimetric method
intra-operative
Secondary Outcomes (3)
need for blood transfusion,
intraoperative
post operative HB
24 hour post operative
operative time
intra operative
Study Arms (2)
conventional suture ligature
EXPERIMENTALuse of conventional sutures for hysterectomy
Liga Sure
ACTIVE COMPARATORuse of conventional sutures plus use of Liga-sure for hysterectomy
Interventions
we use Liga-sure device for hysterectomy
Eligibility Criteria
You may qualify if:
- patient prepared for an elective benign hysterectomy
You may not qualify if:
- Patients with a cardiac, hepatic, renal or thromboembolic disease.
- patients with pelvic endometriosis and adnexal mass.
- patients with endometrial or cervical cancer
- radical hysterectomy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
AswanUH
Aswān, 81528, Egypt
Study Officials
- PRINCIPAL INVESTIGATOR
hany f sallam, md
Aswan University Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- Patients were randomized to two groups according to a two-blocked randomization list which was coded (a) or (b) at 1:1 ratio. The two parallel groups were prepared using a Computer-generated randomization system. The allocated groups were concealed in serially numbered sealed opaque envelopes that were opened only after recruitment. Patient allocation was performed prior to the induction of anesthesia by an independent researcher, who was not otherwise being involved in this study. The trial was appropriately single-blinded. The participants were blinded to the procedure performed.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- lecturer
Study Record Dates
First Submitted
April 7, 2018
First Posted
April 23, 2018
Study Start
January 1, 2018
Primary Completion
September 30, 2019
Study Completion
December 30, 2019
Last Updated
January 7, 2020
Record last verified: 2020-01