Long-term Follow-up of the Cases Who Underwent Conservative Surgery for Placenta Previa Accreta
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 62
- 试验地点
- 1
- 主要终点
- incidence rate of conserving woman's uterus
研究概览
简要总结
A stepwise surgical approach for conservative management of placenta previa accreta.
详细描述
a stepwise surgical approach for conservative management of placenta previa accreta to preserve women's uterus and to evaluate the efficacy and safety of this approach in controlling postpartum hemorrhage including intrapartum hemorrhage associated with conservative management.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Any parity.
- •Previous one or more cesarean delivery.
- •Placenta previa accreta diagnosis confirmed by gray scale & color flow Doppler ultrasound in 3rd trimester. All participants had undergone abdominal ultrasound showing placenta previa anterior completely covering the internal os, with criteria suggestive of invasion by U/S
排除标准
- •women with medical disorder
- •women with bleeding tendency
研究组 & 干预措施
Any age and parity with placenta accreta spectrum
After removal of the placenta, grasping the cervix from the both lips and one from each side of the cervical canal at the level of the internal os, each uterine angle and grasped the remaining lower uterine segment and Nelaton catheter was inserted inside the cervical canal to avoid closing the cervix with sutures of the uterine incision.Closing the uterine incision;taking suture at the lateral angle of the cervix and suturing it to the lower edge of the uterine angle, then another continuous suture was attached to the upper edge of the uterine incision angle[outside in-in out then out in-in out] and the same technique was repeated on the other side (cervico-isthmic sutures). controlling bleeding from the inner surface of the remaining lower uterine segment was done by 2-3 interrupted sutures between the lower uterine segment and the anterior cervical lip. closing of the uterine incision in continuous non-locking manner
干预措施: conservative surgery for uterus in placenta accreta (Procedure)
结局指标
主要结局
incidence rate of conserving woman's uterus
时间窗: intraoperative
success rate of conservative surgery for placenta accreta
次要结局
- incidence rate of cesarean hysterectomy needed(intraoperative and 48 hours postpartum)
- number of units of packed red blood cells , Fresh Frozen Plasma transfused ,postoperative haemoglobin(till 48 hours postpartum)
- incidence of puerperal sepsis(till 6 weeks postpartum)
研究者
mohammed mahmoud samy
assisstant professor of obstetrics and gynaecology
Ain Shams University