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Simplified Conservative Measures in Managing Morbidly Adherent Placenta in Beni-Suef University

Placenta Accreta Clinical Trial

Official title:
Beni-Suef University Hospital Simplified Conservative Approach for Managing Placenta Accreta Spectrum: RCT

Clinical Trial Summary

To evaluate the efficacy of modified uterine artery ligation and myometrial compression as a conservative measure in improving the prognosis of the morbidly adherent placenta.

Clinical Trial Description

According to the International Federation of Gynecology and Obstetrics (FIGO) guidelines, the principal surgical strategy to prevent excessive bleeding related to placenta accreta syndrome is to leave the placenta in situ and perform a primary peripartum hysterectomy at delivery. A hysterectomy may not be preferred by patients wishing to preserve fertility and is detrimental to multiple aspects of the pelvic floor, bowel, and physical functions. Surgical principles in placenta accreta syndrome include avoiding disruption of the hypervascular placenta, stepwise devascularization, early and comprehensive blood product transfusion, and judicious use of interventional radiologic techniques such as vascular embolization. Conservative management describes any approach whereby hysterectomy is avoided ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT06465836
Study type Interventional
Source Beni-Suef University
Contact Hamada Ali, A. professor
Phone 0201007240754
Email hamadaashry@yahoo.com
Status Recruiting
Phase N/A
Start date March 15, 2024
Completion date June 30, 2025
View Details
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