Comparison Between Bladder Dissection Before and After Uterine Incision in Cesarean Section for Morbidly Adherent Placenta
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Operative time
研究概览
简要总结
Comparison between bladder dissection at the beginning of cesarean section For morbidly adherent placenta and between delaying dissection until planning for cesarean hysterectomy
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 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women with BMI at or under 35 Kg/m
- •Women having previous two cesarean section or more.
- •Women with gestational age more than 32 weeks with viable fetus.
- •Women with any degree of placenta previa .
- •Patient with morbidly adherent placenta on cesarean scar only.
排除标准
- •Patient who are haemodynamically unstable before skin incision.
- •Patient with clinically evident intraamniotic infection.
- •Patient with previous history of bladder injury .
研究组 & 干预措施
bladder dissection before uterine incision
干预措施: bladder dissection (Procedure)
bladder dissection after uterine incision
干预措施: bladder dissection (Procedure)
结局指标
主要结局
Operative time
时间窗: icluding all cs over the period of one year
of whole cs
Blood loss
时间窗: icluding all cs over the period of one year
through counting soaked towels and weighting them before and after being soaked considering the difference in grams as the calculated blood loss and calculating blood in the suction reservoir and comparing pre and post operative Hb level also haemotacrit level and number of units of packed RBCs transfused
- Incidence of urological
时间窗: during cs and post operative delayed complication icluding all cs over the period of one year
- Incidence of urological injuries discovered intraoperative and procedure needed to repair or as a late complication as fistula formation.
次要结局
- Neonatal APGAR score(after delivery of the baby during the 1st 15 minutes)
- Time taken to create bladder flap(from the start of bladder dissection icluding all cs over the period of one year)
- 3 months post operative filling cystometry(3 months post operative)
研究者
Mohamed abd elfatah elsenity
Lecturer of obs and gyn atainshams university
Ain Shams University