CClinicalTrials.gg
CompletedNCT05862428Updated May 17, 2023

Rectal Misoprostol in Women Undergoing Total Abdominal Hysterectomy for Intraoperative Blood Loss Reduction

An interventional study of Rectal misoprostol in Intraoperative Blood Loss, sponsored by Queen Savang Vadhana Memorial Hospital, Thailand. Completed at 1 site in Thailand. Open to female participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2023-05-17.

Sponsored by Queen Savang Vadhana Memorial Hospital, Thailand · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Feb 2022, registered Apr 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
20 Years and older
Sex
Female
01

Study summary

Comparing of the intraoperative blood loss between group rectal misoprostol group and control group

Read the detailed description

This open-labeled randomized controlled trial was conducted at the Department of Obstetrics and Gynecology, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand, from February 2022 to September 2022, after approval of the Institution of Review Board of Queen Savang Vadhana Memorial Hospital (IRB No. 001/2565).

Fifty six (56) women with diagnosis of benign uterine disease who were scheduled to perform total abdominal hysterectomy with or without bilateral salpingo-oophorectomy between February 2022 to September 2022 at Queen Savang Vadhana Memorial Hospital were enrolled in this study.

The participants were randomly allocated into two groups, study and control group. The randomization list was kept in a sealed opaque envelope. Study group received two tablets of 200 mcg misoprostol; The drug was inserted rectally 1 hour before operation. Few drops of normal saline were used to dissolve tablets before insertion. Control group that did not receive the drug. The drug was administered by a nurse at Gynecologic ward. The primary outcome was intraoperative blood loss that recorded by measuring amount of blood on the surgical gauzes and swabs by standardized scales and another was recorded from blood in suction container. The secondary outcome was hemoglobin differentiation, rate of blood transfusion and adverse events of misoprostol usage.

02

Conditions studied

  • Intraoperative Blood Loss

Browse trials for

03

In context

Hemorrhage

3,000 studies on the registry are indexed under Hemorrhage; 474 are open to participants now.

This study's enrollment of 56 is below the median of 100 across 1,985 interventional studies indexed under Hemorrhage.

Browse Hemorrhage studies →

Lead sponsor

Queen Savang Vadhana Memorial Hospital, Thailand is the lead sponsor of 29 studies on the registry; 15 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

Female undergoing total abdominal hysterectomy (elective case) with

  • No history of bleeding tendency
  • No history of anticoagulant drug used within 7 days before surgery
  • No contraindications of Misoprostol drug used
  • No history of allergic to misoprostol

Exclusion criteria

Exclusion Criteria:

  • Can not communicate with Thai language
  • Malignancy case
  • Emergency case
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    Rectal misoprostol

    This group received misoprostol transrectally before surgery 1 hour

    Drug: Rectal misoprostol

  • No intervention
    Control group

    This group not received any drugs before surgery

Interventions

  • DrugRectal misoprostol

    This intervention group receive Misoprostol transrectally before undergoing total abdominal hysterectomy

06

What researchers measure

Primary outcomes

  1. Intraoperative blood loss

    The intraoperative blood loss was defined as the blood at starting with a cut in the skin until the suture is closed. Its quantity was measure from blood pads and was record in millilitres. One gram of the blood was 1 ml.

    Time frame: 7 months

Secondary outcomes

  1. hemoglobin difference

    The comparison of hemoglobin between the two groups.

    Time frame: 7 months

  2. Blood transfusion

    Number of the participants between two groups that receive the blood component during or after the operation

    Time frame: 7 months

  3. Number of participants that have side effects of misoprostol

    The comparison of frequencies of side effects of misoprostol between the two groups.

    Time frame: 7 months

07

Study locations

1 site
  • Yingdhanai Pannaraj
    Chon Buri, Chonburi 20110, Thailand
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05862428
Lead sponsor
Queen Savang Vadhana Memorial Hospital, Thailand
Responsible party
Sponsor
First posted
May 17, 2023
Start date
Feb 18, 2022
Primary completion
Sep 26, 2022
Completion
Sep 26, 2022
Last update
May 17, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion