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Trial registered on ANZCTR
Registration number
ACTRN12615000649516
Ethics application status
Approved
Date submitted
26/05/2015
Date registered
23/06/2015
Date last updated
23/06/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
The comparison of surgical outcomes of using LigaSure and Gyrus PK in total laparoscopic hysterectomy
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Scientific title
Comparison of operative time and blood loss using LigaSure and Gyrus PK in women undergoing total laparoscopic hysterectomy
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Secondary ID [1]
286847
0
none
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Universal Trial Number (UTN)
U1111-1170-6434
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
laparoscopic hysterectomy
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Condition category
Condition code
Surgery
295436
295436
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
LigaSure and Gyrus PK are all TGA approved laparoscopic blood vessel sealing devices used in standard hospital care. They have been widely used in laparoscopic surgery for more than 15 years. The safety of these two instruments has been well established in clinical practice. We are evaluating their operative time and blood loss in laparoscopic gynaecological surgery.
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Intervention code [1]
291973
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Treatment: Devices
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Comparator / control treatment
either treatment is served as a control
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Control group
Active
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Outcomes
Primary outcome [1]
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operative time (from skin incision to detachment of the uterus with secured haemostasis)
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Assessment method [1]
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Timepoint [1]
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during surgery
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Secondary outcome [1]
314939
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intra-operative blood loss (Intra-operative blood loss is calculated by subtracting the total volume of irrigation fluid being used from the total volume of fluid in the suction bottle.)
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Assessment method [1]
314939
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Timepoint [1]
314939
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at completion of surgery
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Secondary outcome [2]
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major complications-review operation reports
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Assessment method [2]
315254
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Timepoint [2]
315254
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during surgery
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Secondary outcome [3]
315255
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post-operative analgesics usage-
review medication charts
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Assessment method [3]
315255
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Timepoint [3]
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day 1 post-operation
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Secondary outcome [4]
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conversion rate-review operation report
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Assessment method [4]
315256
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Timepoint [4]
315256
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during surgery
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Secondary outcome [5]
315257
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ergonomics
-use questionnarie that specially designed for this study
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Assessment method [5]
315257
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Timepoint [5]
315257
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during surgery
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Secondary outcome [6]
315258
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cost-calculate disposable items on the count sheet
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Assessment method [6]
315258
0
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Timepoint [6]
315258
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during surgery
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Eligibility
Key inclusion criteria
Patients requiring hysterectomy for benign indications as determined jointly by the surgeon and the patient;Non-pregnant female patients;Over 35 years of age at time of surgery;Patients with the following (but not limited to) diagnoses: abnormal uterine bleeding, fibroids, prolapse;Patients who understand the conditions of the study and are willing to participate for the length of the prescribed term of follow-up; Patients who are capable of, and have given, informed consent to their participation in the study.
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Minimum age
35
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnancy or malignancy suspected ;Uterus exceeding 14 weeks in size
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
32 patients per study group will be enrolled. Enrolment is defined as completion of informed consent and randomisation. The randomization outcome will be written on a paper and put in numbered opaque envelopes, which will be opened by the surgeons in theatre just before the operation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation scheme, in a block, will be used to generate the randomisation list. The randomisation scheme will ensure that during the enrolment period the ratio of the number of cases in the two groups remain approximately constant.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Sample size calculation is based on the operative time. The mean operative time in the SWAPS unit (Sydney West Advanced Pelvic Surgery) is 120 minutes with SD 35. As a result, 32 patients are needed in each arm to have 80% of power to detect a 25 minutes difference in operative time at the two sided 5% significance level. Statistics computer program (SPSS statistics standard, Chicago, USA) will be used in carrying out the statistical analysis. The baseline characteristics will be compared by using analysis of variance. Chi-squared, Mann-Whitney or Fisher’s exact test will be used to estimate the significance of difference between discontinuous variables.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2015
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Actual
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Date of last participant enrolment
Anticipated
1/07/2018
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
64
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Norwest Private Hospital - Bella Vista
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Recruitment hospital [2]
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Blacktown Hospital - Blacktown
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Recruitment postcode(s) [1]
9728
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2153 - Bella Vista
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Recruitment postcode(s) [2]
9729
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2148 - Blacktown
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
291354
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Sydney West Advanced Pelvic Surgery Unit
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Address [1]
291354
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6 Kempsey Street
Blacktown
NSW 2148
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Country [1]
291354
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Australia
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Funding source category [2]
291355
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Hospital
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Name [2]
291355
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Blacktown Hospital
O&G department
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Address [2]
291355
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Blacktown Road
Blacktown
NSW 2148
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Country [2]
291355
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Australia
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Primary sponsor type
Other
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Name
Sydney West Advanced Pelvic Surgery Unit
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Address
6 Kempsey Street
Blacktown
NSW 2148
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Country
Australia
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Secondary sponsor category [1]
290036
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Hospital
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Name [1]
290036
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Blacktown Hospital
O&G department
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Address [1]
290036
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Blacktown Road
Blacktown
NSW 2148
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Country [1]
290036
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292918
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Human Research Ethics Committee
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Ethics committee address [1]
292918
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Research Office, Level 2 REN building Westmead Hospital Hawkesbury and Darcy Road Westmead NSW 2145
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Ethics committee country [1]
292918
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Australia
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Date submitted for ethics approval [1]
292918
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15/01/2015
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Approval date [1]
292918
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21/05/2015
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Ethics approval number [1]
292918
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(4194)AU RED HREC/15/WMEAD/13
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Summary
Brief summary
This is a randomised controlled trial. All components used in this study are TGA approved. Women, who undergo a laparoscopic hysterectomy for benign indications will be randomised to the use of LigaSure or Gyrus PK blood vessel sealing devices. The aim is to compare operative time and blood loss with the use of LigaSure (LF 1737 5mm laparoscopic 37cm sealer /divider) versus Gyrus PK (5mm LYONS™ 33cm dissecting forceps) blood vessel sealing device during laparoscopic hysterectomy. A minimum of 64 patients will be enrolled into the study. Operating time (from initial skin incision until detachment of the uterus with secured haemostasis), total operating time (from initial skin incision until final skin closure), intra-operative blood loss, major complications, post-operative analgesia usage, conversion rate, ergonomics and costs will be evaluated.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Clare Wong
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Address
57618
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Blacktown Hospital
Blacktown Road
Blacktown
NSW 2148
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Country
57618
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Australia
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Phone
57618
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+61416067110
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Fax
57618
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Email
57618
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[email protected]
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Contact person for public queries
Name
57619
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Clare Wong
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Address
57619
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Blacktown Hospital
Blacktown Road
Blacktown
NSW 2148
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Country
57619
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Australia
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Phone
57619
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+61416067110
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Fax
57619
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Email
57619
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[email protected]
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Contact person for scientific queries
Name
57620
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Clare Wong
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Address
57620
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Blacktown Hospital
Blacktown Road
Blacktown
NSW 2148
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Country
57620
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Australia
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Phone
57620
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+61416067110
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Fax
57620
0
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Email
57620
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Plain language summary
No
Conclusion: This trial shows that TLHs performed u...
[
More Details
]
Basic results
No
Conference abstract
No
368640-(Uploaded-04-06-2019-11-26-20)-Other results publication.docx
Documents added automatically
No additional documents have been identified.
Download to PDF