Dilation and Curettage Versus Operative Hysteroscopy for Missed Abortion
NCT ID: NCT04705324
Last Updated: 2023-03-30
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
55 participants
INTERVENTIONAL
2022-01-21
2024-01-20
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Operative Hysteroscopy
Hysteroscopic separation
Operative Hysteroscopy
Separation of the non-viable gestational sac from the uterine wall will through operative hysteroscopy
Dilation and Curettage
Curettage separation
D&C
Separation of the non-viable gestational sac from the uterine wall through dilation and curettage
Feasibility and safety
The first 15 patients recruited will not undergo randomization and will compose the preliminary safety and feasibility phase
Operative Hysteroscopy - safety and feasibility
Operative hysteroscopy - safety and feasibility phase
Interventions
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Operative Hysteroscopy
Separation of the non-viable gestational sac from the uterine wall will through operative hysteroscopy
D&C
Separation of the non-viable gestational sac from the uterine wall through dilation and curettage
Operative Hysteroscopy - safety and feasibility
Operative hysteroscopy - safety and feasibility phase
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* women who took medical treatment for missed abortion prior to recruitment
* women with known uterine abnormality
18 Years
50 Years
FEMALE
Yes
Sponsors
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Tel-Aviv Sourasky Medical Center
OTHER_GOV
Responsible Party
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Eli Sprecher, MD
Deputy Director Research & Development
Principal Investigators
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Yariv Yogev, M.D.
Role: STUDY_CHAIR
Tel-Aviv Sourasky Medical Center
Locations
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Lis Maternity Hospital, Tel Aviv Sourasky Medical Center
Tel Aviv, , Israel
Countries
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Central Contacts
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Facility Contacts
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References
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Nybo Andersen AM, Wohlfahrt J, Christens P, Olsen J, Melbye M. Maternal age and fetal loss: population based register linkage study. BMJ. 2000 Jun 24;320(7251):1708-12. doi: 10.1136/bmj.320.7251.1708.
Wang X, Chen C, Wang L, Chen D, Guang W, French J. Conception, early pregnancy loss, and time to clinical pregnancy: a population-based prospective study. Fertil Steril. 2003 Mar;79(3):577-84. doi: 10.1016/s0015-0282(02)04694-0.
American College of Obstetricians and Gynecologists' Committee on Practice Bulletins-Gynecology. ACOG Practice Bulletin No. 200: Early Pregnancy Loss. Obstet Gynecol. 2018 Nov;132(5):e197-e207. doi: 10.1097/AOG.0000000000002899.
Zhang J, Gilles JM, Barnhart K, Creinin MD, Westhoff C, Frederick MM; National Institute of Child Health Human Development (NICHD) Management of Early Pregnancy Failure Trial. A comparison of medical management with misoprostol and surgical management for early pregnancy failure. N Engl J Med. 2005 Aug 25;353(8):761-9. doi: 10.1056/NEJMoa044064.
Hooker AB, Lemmers M, Thurkow AL, Heymans MW, Opmeer BC, Brolmann HA, Mol BW, Huirne JA. Systematic review and meta-analysis of intrauterine adhesions after miscarriage: prevalence, risk factors and long-term reproductive outcome. Hum Reprod Update. 2014 Mar-Apr;20(2):262-78. doi: 10.1093/humupd/dmt045. Epub 2013 Sep 29.
Salzani A, Yela DA, Gabiatti JR, Bedone AJ, Monteiro IM. Prevalence of uterine synechia after abortion evacuation curettage. Sao Paulo Med J. 2007 Sep 6;125(5):261-4. doi: 10.1590/s1516-31802007000500002.
Other Identifiers
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0087-20-TLV
Identifier Type: -
Identifier Source: org_study_id
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