NCT07519993尚未招募不适用
Conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique With or Without Hayman Sutures
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 48
- 主要终点
- Intra-operative estimated blood loss
研究概览
简要总结
This study evaluates whether adding Hayman sutures in the conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique reduces intraoperative blood loss and improves outcomes
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age 18-40 years
- •Antenatal PAS diagnosis confirmed by TAS/TVS/Doppler
- •Eligible for conservative Kasr Al-Ainy surgery
- •Singleton pregnancy
- •Written informed consent
排除标准
- •Multiple pregnancy
- •Uterine fibroids
- •Previous cesarean myomectomy
- •Cervical accreta
- •Extensive parametrial or bladder invasion requiring hysterectomy
- •Known coagulopathy or uncorrected bleeding disorder.
- •Severe medical comorbidities rendering the patient unfit for major surgery under general anesthesia (e.g., severe cardiac or pulmonary disease)
- •Medical disorders as HTN and DM
- •Patient refusal
研究组 & 干预措施
Kasr Al-Ainy Technique Alone
Active Comparator
干预措施: Kasr Al-Ainy Technique Alone (Procedure)
Kasr Al-Ainy Technique + Hayman Sutures
Experimental
干预措施: Kasr Al-Ainy Technique + Hayman Sutures (Procedure)
结局指标
主要结局
Intra-operative estimated blood loss
时间窗: During operation
次要结局
未报告次要终点
研究者
Abdalla Mousa
Lecturer of Obstetrics and Gynecology
Cairo University
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