Internal Iliac Artery Ligation Before Cesarean Hysterectomy in Morbidly Adherent Placenta

Phase 3

Completed

• Conditions: Blood Loss
• Interventions: Procedure: Internal iliac artery ligation; Procedure: cesarean hysterectomy

• Registration Number: NCT03824873
• Lead Sponsor: Ain Shams University

Brief Summary

40 pregnant females at term diagnosed with morbidly adherent placenta and planned for elective cesarean section were recruited and randomized to 2 groups. Group A: Internal iliac ligation followed by cesarean hysterectomy. Group B: cesarean hysterectomy.

Detailed Description

Not available

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study Start: 2017-03-01
• Study First Submitted: 2019-01-26
• Study First Submitted QC: 2019-01-30
• Study First Posted: 2019-01-31
• Primary Completion: 2020-01-01
• Status Verified: 2020-07
• Study Completion: 2020-07-02
• Last Update Submitted: 2020-07-07
• Last Update Posted: 2020-07-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 40

Inclusion Criteria

• Placenta previa accreta
• Previous 2 cesarean section
• completed her family
• Hemoglobin > 11 gm/dl
• Elective cesarean hysterectomy

Read More

Exclusion Criteria

• Anemia ( Hemoglobin < 11 gm/dl)
• Not completed her family
• BMI > 35 Kg/m2
• Bleeding tendency
• Emergengy cesarean section
• Thrombophilia

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
internal iliac artery ligation + cesarean hysterectomy	cesarean hysterectomy	-
cesarean hysterectomy	cesarean hysterectomy	-
internal iliac artery ligation + cesarean hysterectomy	Internal iliac artery ligation	-

Primary Outcome Measures

Name	Time	Method
Amount of blood loss	intraoperative
Amount of Blood transfusion needed in mililiters	24 hours

Secondary Outcome Measures

Name	Time	Method
change of hemoglobin	24 hours
change of hematocrit	24 hours
operative time	intraoperative
incidence of injury of important structures during operation	intraoperative	incidence of injury of important structures during operation as urinary bladder, ureteric, intestinal or great vessels injury

Trial Locations

Locations (1)

Ain Shams University Maternity Hospital; 🇪🇬 Cairo, Egypt