NCT03617354

The Implementation of MinimAlly Invasive Hysterectomy Trial

A Stepped Wedge Cluster Trial to Implement and Evaluate a Model for Training Practising Gynaecologists in Total Laparoscopic Hysterectomy

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 10 (actual)
• Sponsor: Queensland Centre for Gynaecological Cancer · Other Government
• Sex: All
• Age: —
• Healthy volunteers: Accepted

Summary

Removal of the uterus (hysterectomy) is the most commonly performed major gynaecological procedure in women. Obstetricians and gynaecologist (O\&G) surgeons conduct the majority of hysterectomies. Surgical approaches to removal of the uterus include laparoscopic hysterectomy, vaginal hysterectomy with or without laparoscopic assistance and open hysterectomy through an abdominal incision. It is widely accepted that laparoscopic hysterectomy and vaginal hysterectomy are less invasive procedures, cause fewer surgical complications, less postoperative pain, require a shorter hospital stay and are associated with quicker recovery than abdominal hysterectomy. In Australia and despite the evidence, Total Abdominal Hysterectomy (TAH) rates are unreasonably high (\~40%) and only 13% of all hysterectomies are done via Total Laparoscopic Hysterectomy (TLH) in Australia. This study aims to implement and evaluate a training program in TLH for gynaecologists. The potential benefits to the community are: * A reduction in the incidence of overall surgical adverse events in patients receiving a hysterectomy * A reduction in the length of hospital stay for patients requiring a hysterectomy * A reduction in the direct hospital costs for hysterectomy

Conditions

• Female Reproductive Problem

Interventions

Type	Name	Description
PROCEDURE	Total Laparoscopic Hysterectomy	The trainee gynaecologists are undertaking a training program in performing Total Laparoscopic Hysterectomy

Timeline

• Start date: 2017-03-29
• Primary completion: 2021-12-31
• Completion: 2022-12-31
• First posted: 2018-08-06
• Last updated: 2023-04-18

Locations

4 sites across 1 country: Australia