Placenta Accreta Spectrum Management: Uterine Preservation Using JSICA Technique - Retrospective Cross-Sectional Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 323
- 试验地点
- 2
- 主要终点
- Intraoperative bleeding
研究概览
简要总结
The goal of this study is to present the Jakarta Surgical Uterine Conservation (JSICA) technique and its perioperative outcomes in Placenta Accreta Spectrum patients. Participants are all patients undergoing standard hysterectomy or the Jakarta Surgical Uterine Conservation (JSICA) technique. Researchers will compare both groups to see if there are any differences in the perioperative outcomes.
详细描述
This study uses data from Cipto Mangunkusumo General Hospital's Placenta Accreta Case Register. This register includes all patients with a confirmed placenta accreta spectrum diagnosis. Data collected includes demographic characteristics, risk factors, surgery characteristics, and perioperative outcomes. In this study, researchers would like to evaluate the perioperative outcomes of the JSICA technique in comparison to a standard hysterectomy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Focal accreta invasion ( < 50% anterior wall)
- •Anterior invasion
- •No parametrial or bladder invasion
- •Residual tissue or healthy myometrium min 3 cm above the OUI or cervix
- •Good uterine contraction post-repair (with or without compression sutures)
- •Hemodynamically stable
排除标准
- 未提供
研究组 & 干预措施
Jakarta Surgical Uterine Conservation (JSICA) technique
Cipto Mangunkusumo General Hospital's novel uterine preservation technique based on standard procedure
干预措施: Jakarta Surgical Uterine Conservation (JSICA) Technique (Procedure)
Standard Hysterectomy
Surgery to remove the uterus
干预措施: Standard Hysterectomy (Procedure)
结局指标
主要结局
Intraoperative bleeding
时间窗: Perioperative
Intraoperative bleeding in this study was measured by the amount of blood loss (cc) and classified into \< 1.000 cc, 1.000-1.500 cc, and \> 1.500 cc. .
Operation duration
时间窗: Perioperative
The operation duration was the time interval from skin incision to closure (hours) and classified into \< 3 hours and \> 3 hours.
Rate of Intraoperative complications
时间窗: Intraoperative
Rate of intraoperative complications were identified by the documentation of injury to adjacent structures (bladder or ureter) or a need for transfusion.
Number of Patients Admitted to ICU
时间窗: 24 hours
ICU admission was identified by the documentation of number of patients' admission to the ICU
次要结局
- Rate of Intraoperative complications in JSICA compared to hysterectomy(Perioperative)
- Number of Patients Admitted to ICU in JSICA compared to hysterectomy(24 hours)
- Intraoperative Bleeding in JSICA compared to hysterectomy(Perioperative)
- Operation duration in JSICA compared to hysterectomy(Perioperative)
研究者
Amanda Rumondang
Principal Investigator
Dr Cipto Mangunkusumo General Hospital