Effect of Uterine Artery Ligation Prior to Uterine Incision in Women With Placenta Previa
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers.
- The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment.
- Uterine artery ligation was performed by grasping the broad ligament with thumb anterior and the index finger lifting the base below the site uterine incision; the uterine artery was singly ligated with No. 1 vicryl suture. Myometrium was included so that uterine vessels are not damaged.
- Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta Delivery of the baby and placenta.
- Closure of the uterine incision in 2 layers with N0. 1 vicryl suture.
- Closure of the anterior abdominal wall in layers
研究概览
详细说明
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers.
- The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment.
- Uterine artery ligation was performed by grasping the broad ligament with thumb anterior and the index finger lifting the base below the site uterine incision; the uterine artery was singly ligated with No. 1 vicryl suture. Myometrium was included so that uterine vessels are not damaged.
- Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta Delivery of the baby and placenta.
- Closure of the uterine incision in 2 layers with N0. 1 vicryl suture.
- Closure of the anterior abdominal wall in layers In the control group, lower segment caesarean section is without uterine artery ligation
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习地点
-
-
-
Cairo、埃及、12151
- 招聘中
- Kasr Alainy Medical School
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- patients diagnosed with placenta praevia antenatally
- plan is elective caesarean section
- Gestational age >34 weeks
Exclusion Criteria:
- Fetal distress
- medical disorders as hypertension or Diabetes Mellitus
- Coagulation defects.
- Emergency Cesarean section
- women with antepartum hemorrhage
- patients with marked ahdesions or those with non possible uterine artery ligation
学习计划
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器：uterine artery ligation
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers.
|
Uterine artery ligation was performed by grasping the broad ligament with thumb anterior and the index finger lifting the base below the site uterine incision; the uterine artery was singly ligated with No. 1 vicryl suture.
Myometrium was included so that uterine vessels are not damaged
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers. - The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment. Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta Delivery of the baby and placenta.
|
|
有源比较器：Traditional lower segment Cesarean section
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers.
|
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers. - The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment. Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta Delivery of the baby and placenta.
|
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Decrease in Hemoglabin level
大体时间：24 hours after Cesarean
|
24 hours after Cesarean
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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