Early vs Late Bladder Dissection During CS Hysterectomy in Patients With PAS With Bladder Invasion
Not Applicable
Recruiting
- Conditions
- Placenta Accreta SpectrumCesarean Hysterectomy
- Registration Number
- NCT05752513
- Lead Sponsor
- Cairo University
- Brief Summary
Thirty-six singleton pregnant women with PAS and bladder invasion; total anterior or anterolateral invasion, who were scheduled for cesarean hysterectomy were randomly assigned into two equal groups
* Group 1: included 18 pregnant women scheduled for classical cesarean hysterectomy for placenta accreta with or without ligation of anterior division of internal iliac artery before cesarean section.
* Group 2: included 18 pregnant women scheduled for bladder last cesarean hysterectomy with or without ligation of anterior division of internal iliac artery.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- Female
- Target Recruitment
- 36
Inclusion Criteria
- Age: reproductive age.
- Pregnant with singleton living fetus.
- Previous one or more cesarean sections.
- Gestational age: > 34 weeks.
- Elective or non-emergency cesarean sections.
- Preoperative hemoglobin more than 9.5 gm/dl.
Exclusion Criteria
Women with history of any medical disorder with pregnancy eg. gestational diabetes, hypertension, or anemia.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Amount of blood loss during cesarean hysterectomy
- Secondary Outcome Measures
Name Time Method bladder injury during cesarean hysterectomy ureteric injury during cesarean hysterectomy Need for massive blood transfusion during cesarean hysterectomy Operative time during cesarean hysterectomy
Trial Locations
- Locations (1)
Cairo University
🇪🇬Cairo, Egypt
Cairo University🇪🇬Cairo, EgyptAhmed RashwanContact01002592250ahmedrashwan1981@gmail.com