Internal Iliac Artery Ligation Before Cesarean Hysterectomy in Morbidly Adherent Placenta

Internal Iliac Artery Ligation Before Cesarean Hysterectomy in Morbidly Adherent Placenta: A Randomized Clinical Trial

Sponsors

Lead Sponsor: Ain Shams University

Source Ain Shams University
Brief Summary

40 pregnant females at term diagnosed with morbidly adherent placenta and planned for elective cesarean section were recruited and randomized to 2 groups. Group A: Internal iliac ligation followed by cesarean hysterectomy. Group B: cesarean hysterectomy.

Overall Status Completed
Start Date 2017-03-01
Completion Date 2020-07-02
Primary Completion Date 2020-01-01
Phase Phase 3
Study Type Interventional
Primary Outcome
Measure Time Frame
Amount of blood loss intraoperative
Amount of Blood transfusion needed in mililiters 24 hours
Secondary Outcome
Measure Time Frame
change of hemoglobin 24 hours
change of hematocrit 24 hours
operative time intraoperative
incidence of injury of important structures during operation intraoperative
Enrollment 40
Condition
Intervention

Intervention Type: Procedure

Intervention Name: Internal iliac artery ligation

Description: Internal iliac artery ligation and cesarean hysterectomy

Arm Group Label: internal iliac artery ligation + cesarean hysterectomy

Other Name: cesarean hysterectomy

Intervention Type: Procedure

Intervention Name: cesarean hysterectomy

Description: cesarean hysterectomy

Eligibility

Criteria:

Inclusion Criteria: - Placenta previa accreta - Previous 2 cesarean section - completed her family - Hemoglobin > 11 gm/dl - Elective cesarean hysterectomy Exclusion Criteria: - Anemia ( Hemoglobin < 11 gm/dl) - Not completed her family - BMI > 35 Kg/m2 - Bleeding tendency - Emergengy cesarean section - Thrombophilia

Gender:

Female

Minimum Age:

25 Years

Maximum Age:

40 Years

Healthy Volunteers:

No

Overall Contact Contact information is only displayed when the study is recruiting subjects.
Location
Facility: Ain Shams University Maternity Hospital
Location Countries

Egypt

Verification Date

2020-07-01

Responsible Party

Type: Principal Investigator

Investigator Affiliation: Ain Shams University

Investigator Full Name: Mohamed S Sweed, MD

Investigator Title: Principal Investigator

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: internal iliac artery ligation + cesarean hysterectomy

Type: Active Comparator

Label: cesarean hysterectomy

Type: Active Comparator

Patient Data No
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Prevention

Masking: None (Open Label)

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