NCT04981483

Conservative Surgery for Placenta Accreta

Long-term Follow-up of the Cases Who Underwent Conservative Surgery for Placenta Previa Accreta

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 62 (actual)
• Sponsor: Ain Shams University · Academic / Other
• Sex: Female
• Age: —
• Healthy volunteers: Accepted

Summary

A stepwise surgical approach for conservative management of placenta previa accreta.

Detailed description

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.

Conditions

• Placenta Accreta

Interventions

Type	Name	Description
PROCEDURE	conservative surgery for uterus in placenta accreta	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

Timeline

• Start date: 2018-01-01
• Primary completion: 2019-04-15
• Completion: 2019-06-30
• First posted: 2021-07-29
• Last updated: 2023-12-29

Locations

1 site across 1 country: Egypt