Evidence map›Paper›PMID 37516864›Full record

Trial reportBMC women's health2023

Oxytocin versus a combination of tranexamic acid and ethamsylate in reducing intraoperative bleeding during abdominal myomectomy: a randomized clinical trial.

Ahmed Mahmoud Abdou, Elsayed Eldesouky, Elsayed Farag, Attia Mohammed, Doaa Fathy Mohamed Abdelaziz, A Shaaban, Mostafa Ellaban, Abd Elhalim Mohamed Abd Elhalim, Ahmed Gamal Abo Elsror, Alrefaai Abd Elfattah Marai and 10 more

RetractedOpen access · goldAbstract readRandomized Controlled TrialMulticenter StudyRetracted Publication
In one paragraph

Trial report in BMC women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Medical treatment of fibroids: FIGO best practice guidance.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Guideline
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 9 institutions in 2 countries.

Ahmed Mahmoud AbdouObstetrics and Gynecology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Elsayed EldesoukyDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alazhar University in Cairo, Cairo, Egypt.
Elsayed FaragDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alazhar University in Cairo, Cairo, Egypt.
Attia MohammedDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alazhar University in Cairo, Cairo, Egypt.
Doaa Fathy Mohamed AbdelazizDepartment of Obstetrics and Gynecology, Alazhar University for Girls in Cairo, Cairo, Egypt.
A ShaabanDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alazhar University in Cairo, Cairo, Egypt.
Mostafa EllabanDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alazhar University in Cairo, Cairo, Egypt.
Abd Elhalim Mohamed Abd ElhalimDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alazhar University in Assuit, Assuit, Egypt.
Ahmed Gamal Abo ElsrorInternational Islamic Institute for Studies and Population Research Alazhar University in Cairo, Cairo, Egypt.
Alrefaai Abd Elfattah MaraiDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alazhar University in Cairo, Cairo, Egypt.
Faiza Abdel-HakamDepartment of Obstetrics and Gynecology, Alazhar University for Girls in Cairo, Cairo, Egypt.
Mohamed Abd-ElGawadMBBCh, Faculty of Medicine Fayoum University, Fayoum, Egypt.
Asmaa Ahmed ElrashedyFaculty of Medicine, Kafr El-Shaikh University, Kafr El-Shaikh, Egypt.
Hanaa AbdelmonemMBBCh, Faculty of Medicine Fayoum University, Fayoum, Egypt.
Mohamed Abdelmonem KamelMBBCh, Faculty of Medicine Fayoum University, Fayoum, Egypt. ma3701@fayoum.edu.eg.ORCID http://orcid.org/0000-0001-8472-269X
Ibtesam K AfiffiDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Tanta University, Tanta, Egypt.
Hazem Galal Abdelhameed ElsayedDepartment of Obstetrics and Gynecology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Sameh Abdelmoneim AbdelhamedDepartment of Obstetrics and Gynecology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Almandouh H BosilahDepartment of Obstetrics and Gynecology, Faculty of Medicine, Damiata University, Damiata, Egypt.
Heba MarieDepartment of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Al-Azhar University · EGFayoum University · EGAssiut University · EGCairo University · EGDamietta University · EGInternational Islamic Center for Population Studies and Research · EGKafrelsheikh University · EGUmm al-Qura University · SAZagazig University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMyomectomy is the preferred surgical approach to manage uterine fibroids. However, uterine fibroids are highly vascular tumors and, consequently, extremely susceptible to problems from myomectomy-related hemorrhage. Hence, we aim to compare oxytocin efficacy and safety profile versus tranexamic acid (TA) with ethamsylate for reducing bleeding during myomectomy.

methodsThis randomized, double-blinded multicenter study was performed between 20

resultsIn 180 premenopausal women, oxytocin and TA with ethamsylate had no significant value in lowering intraoperative blood loss compared with the placebo for abdominal myomectomy (666.25 ± 183.03, 630.72 ± 145.83, and 646.67 ± 168.92, respectively (P = 0.506)). Non-significant trends were observed for a reduction in operation time (P = 0.760), intra/postoperative blood transfusion (P = 0.624), hospital stay (P = 0.986), postoperative fever (P = 0.659), and wound infection (P = 1).

conclusionOxytocin and TA with ethamsylate had no significant value in lowering intraoperative blood loss compared with the placebo for abdominal myomectomy which opens a new question about the role of the use of the hemostatic drug during myomectomy especially in centers with limited resources and had higher rates.

trial registrationThe study was registered on Pan African Clinical Trials Registry with the following number: PACTR202008739887429 and was approved on 24/08/2020.

Indexed as

EthamsylateLeiomyomaTranexamic AcidUterine MyomectomyBlood Loss, SurgicalFemaleHumansOxytocinSaline SolutionEthamsylateOxytocinSaline SolutionTranexamic AcidAbdominal myomectomyBlood lossEthamsylateOxytocinTranexamic acid

Identifiers

PMID37516864
PMCPMC10387195
OpenAlexW4385379496

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.