No registrations found.
ID
Source
Brief title
Health condition
vesselseal, laparoscopy, hysterectomy, oophorectomy
Sponsors and support
ans A.M. Brölmann
VU University Medical Center
De Boelelaan 1117
1181 HV, Amsterdam
The Netherlands
+31 20 4444851
fax: +31 20 4443333
email: h.brolmann@vumc.nl <mailto:h.brolmann@vumc.nl>
Intervention
Outcome measures
Primary outcome
1. Operating time;
2. Intraoperative bloodloss
Secondary outcome
1. Hemoglobin drop;
2. User satisfaction;
3. Costs;
4. Quality of life (SF36)
Background summary
Laparoscopic hysterectomy and/or oophorectomy undergo a slow but steady implementation in the Netherlands. Hemostasis in laparoscopic surgery is sometimes problematic with the conventional methods, such as bipolar coagulation. Since recently a new vesselsela technique is commercially available. The objective of the technique is to close the vessel quicker and more effective. This should result in shorter operating time and less bloodloss. This hypothesis is tested in the current study.
Study objective
The vesselseal instrument results in shorter operating time and less intraoperative bloodloss than the conventional bipolar coagulation in patients undergoing laparoscopic hysterectomy and/or salpingo-oophorectomy
Intervention
Hemostasis with vesselseal technique
De Boelelaan 1117
H.A.M. Brölmann
Amsterdam
The Netherlands
+31 20 4444851
h.brolmann@vumc.nl
De Boelelaan 1117
H.A.M. Brölmann
Amsterdam
The Netherlands
+31 20 4444851
h.brolmann@vumc.nl
Inclusion criteria
1. Laparoscopic hysterectomy;
2. Laparoscopic oophorectomy
Exclusion criteria
1. Ovarian or cervical cancer;
2. Uterus size > 20 weeks pregnancy
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL939 |
| NTR-old | NTR964 |
| Other | : |
| ISRCTN | ISRCTN80747160 |
Summary results
Brölmann HAM. Laparoscopische assistentie bij hysterectomie; modus of mode. Ned T Obstetrie en Gynaecologie 1995;108:365 – 366
HAM Brölmann, S de Blok, IMHE Buijs. Van kijkbuis naar doebuis; de gevolgen voor de hysterectomie. Ned T Obstet Gynaecol 1996;109:313 – 316
Derksen JGM, Brölmann HAM, Wiegerinck, Vader HL, Heintz APM. The effect of hysterectomy and endometrial ablation on follicle stimulating hormone (FSH) levels up to 1 year after surgery. Maturitas 1998;29:133 – 138
HAM Brölmann, MY Bongers. Resultaten van laparoscopisch geassisteerde vaginale hysterectomieen in het Ikazia Ziekenhuis te Rotterdam, 1993-1997 (ingezonden brief). Ned T Geneesk 1998;142:2431
HAM Brölmann. Wel of niet sluiten van het peritoneum na een vaginale hysterectomie. NTOG 2000;113:231 - 232
HAM Brölmann. Vasopressin during abdominal hysterectomy reduced bloodloss by 40 % (commentary). J Evidence Based Obstetrics and Gynecology 2002;2:78-9
HAM Brölmann, MY Bongers, GL Bremer, PCM van der Salm. A randomised comparison and economic evaluation in laparoscopic assisted hysterectomy and abdomminal hysterectomy. (correspondence). Brit J Obstet Gynaecol 2002;109:1427-28.
Brölmann HAM. Laparoscpic hysterectomy had a higher rate of major complications than abdominal hysterectomy (comment). Evidence based Obstet Gynecol 2004;6:122-24.
Kluivers KB, Bongers MY, Mol BWI, Bremer GL, Weemhoff m, Brölmann HAM, Withagen MIJ, Vierhout ME. Pevic organ function in randomised laparoscopic and abdominal hysterectomy patients. Poster ESGE Annual Congress, Strassbourg, October 2006