ACAR-Style Bladder Suture in Uterus-Sparing Surgery and Hysterectomy for Placenta Percreta: A Result Analysis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 81
- 试验地点
- 1
- 主要终点
- Comparison of intraoperative bleeding and complication rates of the two groups
研究概览
简要总结
This study aimed to evaluate the short-term and long-term complications of placenta percreta with bladder invasion. This evaluation focuses on cases where bladder dissection and ACAR-style bladder sutures were applied in cases of placenta percreta with bladder invasion that underwent uterine-sparing surgery or hysterectomy.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Pregnant women
- •Clinical diagnosis of PAS
- •PAS with bladder invasion
排除标准
- •Cases with incomplete or inadequate medical records
- •Cases with other types of placental invasion (e.g., placenta accreta, placenta increta),
- •Cases with missing key data points.
结局指标
主要结局
Comparison of intraoperative bleeding and complication rates of the two groups
时间窗: during operation time
It was observed that the amount of intraoperative bleeding (volume aspirated cc blood), surgical time (minutes), blood transfusion rates (%), and hysterectomy rates(%).
Comparison of complication rate between two groups
时间窗: six months postoperatively
It was described as long-term bladder dysfunction(Nocturia, Urgency, Stress urinary incontinance, fistula rate (%)) Nocturia: Waking up more than once during the night. Urgency: Sudden, intense urge to urinate followed by an involuntary loss of urine. Stress urinary incontinance: Happens when physical movement or activity - such as coughing, laughing, sneezing, running or heavy lifting - puts pressure (stress) on your bladder, causing you to leak urine.
Comparison of postoperative bleeding between two groups
时间窗: postoperative three days,
It was observed that the amount of postoperative bleeding (hemoglobin(g/dL) change, need for blood transfusion Unite)
次要结局
未报告次要终点
研究者
Cemre Alan
Fellow
Necmettin Erbakan University