Comparison Between Bladder Dissection Before and After Uterine Incision in Cesarean Section for Morbidly Adherent Placenta

Not Applicable

• Conditions: Morbidly Adherent Placenta
• Interventions: Procedure: bladder dissection

• Registration Number: NCT03676855
• Lead Sponsor: Ain Shams University

Brief Summary

Comparison between bladder dissection at the beginning of cesarean section For morbidly adherent placenta and between delaying dissection until planning for cesarean hysterectomy

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2018-03-31
• Study First Submitted: 2018-08-26
• Status Verified: 2018-09
• Study First Submitted QC: 2018-09-16
• Last Update Submitted: 2018-09-16
• Study First Posted: 2018-09-19
• Last Update Posted: 2018-09-19
• Primary Completion: 2019-02-01
• Study Completion: 2019-03-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 60

Inclusion Criteria

1. Women with BMI at or under 35 Kg/m2.
2. Women having previous two cesarean section or more.
3. Women with gestational age more than 32 weeks with viable fetus.
4. Women with any degree of placenta previa .
5. Patient with morbidly adherent placenta on cesarean scar only.

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Exclusion Criteria

1. Patient who are haemodynamically unstable before skin incision.
2. Patient with clinically evident intraamniotic infection.
3. Patient with previous history of bladder injury .

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
bladder dissection after uterine incision	bladder dissection	-
bladder dissection before uterine incision	bladder dissection	-

Primary Outcome Measures

Name	Time	Method
Operative time	icluding all cs over the period of one year	of whole cs
Blood loss	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	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.

Secondary Outcome Measures

Name	Time	Method
Neonatal APGAR score	after delivery of the baby during the 1st 15 minutes	Neonatal APGAR score
Time taken to create bladder flap	from the start of bladder dissection icluding all cs over the period of one year	from the start of bladder dissection
3 months post operative filling cystometry	3 months post operative	3 months post operative filling cystometry

Trial Locations

Locations (1)

Ain Shams University Maternity Hospital; 🇪🇬 Cairo, Egypt