]>
IRCT20150105020558N4 IRCT 2022-03-26 Tehran University of Medical Sciences The therapeutic effect of suction curettage and resectoscopy in cesarean scar pregnancy Comparison of therapeutic effect of suction curettage and resectoscopy in women with cesarean scar pregnancy 2022-05-05 anticipated 60 Complete https://irct.ir/trial/62537 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Random allocation rule: First, 30 letters A and 30 letters B are written on special papers that are not marked inside. Then all of them are placed in a bag and for each patient, after obtaining informed consent, a paper is removed randomly and without replacement, and based on the letter written on it, the desired intervention is performed for the patient. In addition, interventions A (curettage suction) or B (hysteroscope resectoscopy) are determined by a lot. 3 Ectopic pregnancy. Intervention 1: Intervention group: In the curettage suction group, the patient is placed under local anesthesia or light general anesthesia with a mask. After anesthesia, the cervix is opened using a special instrument to pass through a hysteroscope and other necessary instruments. In hysteroscopy, a telescope-like device is inserted into the cervix through the cervix. The doctor then examines the uterus and uterine walls. This device enters the lower part of the uterus through the cervical canal. Carbon dioxide gas or certain solutions are then transferred to the uterine cavity. This gas or solution opens the uterine cavity and enables the doctor to thoroughly examine the inside of the uterus. Then his surgery is performed under the guidance of abdominal ultrasound with hysteroscopy. Intervention 2: Intervention group: In the resectoscopy hysteroscope group, cervical preparation is performed with cervical softening suppositories before surgery. Unipolar or bipolar cutter energy is used for tissue cutting. Fluids are used to fill the uterine cavity. In this method, the patient undergoes ultrasound, hysteroscopy and resectoscopy of ectopic pregnancy. Yes - There is a plan to make this available What will be shared: All data is potentially shareable after unidentified participants. When: After the manuscript is published. To whom: No limitations. Conditions: The data is only available to the project manager, Dr. Ebrahimi, and any analysis must be done with her opinion. Where to obtain: Dr. Ebrahimi. How to obtain: Any request must be sent through e-mail and accompanied by a proposal with an ethics code under the supervision of Dr. Ebrahimi. Comments:
public Mahbod Ebrahimi
Yas hospital, Next to the sarv street , North Nejatollahi street , karim khan ave
Tehran Iran (Islamic Republic of) 1598718311 +98 21 8882 7794 maeb214@yahoo.com Tehran University of Medical Sciences scientific Mahbod Ebrahimi
Yas Hospital, Ostad Nejatolahi Ave., Karimkhan Blvd.
Tehran Iran (Islamic Republic of) 1598718311 +98 21 8882 7794 maeb214@yahoo.com Tehran University of Medical Sciences Iran (Islamic Republic of) Patient with stable hemodynamic conditions Patient age 18 to 55 years 18 years 55 years Female Withdraw to participation O00 Ectopic pregnancy Treatment - Surgery Treatment - Surgery Intervention group: In the curettage suction group, the patient is placed under local anesthesia or light general anesthesia with a mask. After anesthesia, the cervix is opened using a special instrument to pass through a hysteroscope and other necessary instruments. In hysteroscopy, a telescope-like device is inserted into the cervix through the cervix. The doctor then examines the uterus and uterine walls. This device enters the lower part of the uterus through the cervical canal. Carbon dioxide gas or certain solutions are then transferred to the uterine cavity. This gas or solution opens the uterine cavity and enables the doctor to thoroughly examine the inside of the uterus. Then his surgery is performed under the guidance of abdominal ultrasound with hysteroscopy. Intervention group: In the resectoscopy hysteroscope group, cervical preparation is performed with cervical softening suppositories before surgery. Unipolar or bipolar cutter energy is used for tissue cutting. Fluids are used to fill the uterine cavity. In this method, the patient undergoes ultrasound, hysteroscopy and resectoscopy of ectopic pregnancy. BHCG titration. Timepoint: Several times, 48 hours after surgery, then once a week until it is negative. Method of measurement: Blood sampling. Hemoglobin level. Timepoint: Twice, 6 hours and 12 hours after surgery. Method of measurement: Blood sampling. Number of hospitalization days. Timepoint: Once, at the end of the hospitalization. Method of measurement: With patient' s medical records. Tehran University of Medical Sciences Approved 2022-02-21 Ethical Commette of Tehran University OF Medical Sciences Ethics committee of Tehran University of Medical Sciences, School of Medicine, Pour Sina Ave., Qods Blvd. Tehran Tehran Iran (Islamic Republic of)