Conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique With or Without Hayman Sutures

This study evaluates whether adding Hayman sutures in the conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique reduces intraoperative blood loss and improves outcomes

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Key information

Conditions

Placenta Accreta Spectrum Female Urogenital Diseases and Pregnancy Complications Obstetric Labor Complications Placenta Accreta Placenta Diseases Pregnancy Complications Urogenital Diseases

Age range

18 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Age 18-40 years
Antenatal PAS diagnosis confirmed by TAS/TVS/Doppler
Eligible for conservative Kasr Al-Ainy surgery
Singleton pregnancy
Written informed consent

Exclusion criteria

Multiple pregnancy
Uterine fibroids
Previous cesarean myomectomy
Cervical accreta
Extensive parametrial or bladder invasion requiring hysterectomy
Known coagulopathy or uncorrected bleeding disorder.
Severe medical comorbidities rendering the patient unfit for major surgery under general anesthesia (e.g., severe cardiac or pulmonary disease)
Medical disorders as HTN and DM
Patient refusal

Treatment and study plan

Kasr Al-Ainy Technique Alone

Procedure

Vascular Ligation: Bilateral uterine artery tying at high and low levels.
Compression Sutures: Anterior and posterior cervicovaginal stitches for hemostasis.
Segmental Resection: Excision of invaded myometrium and placental tissue.
Dual-Layer Repair: Myometrial approximation followed by reinforcing imbricating sutures.
Final Hemostasis: Confirmation of bleeding control prior to abdominal closure.

Kasr Al-Ainy Technique + Hayman Sutures

Procedure

Vascular Ligation: Bilateral uterine artery tying at high and low levels.
Compression Sutures: Anterior and posterior cervicovaginal stitches for hemostasis.
Segmental Resection: Excision of invaded myometrium and placental tissue.
Dual-Layer Repair: Myometrial approximation followed by reinforcing imbricating sutures.
Final Hemostasis: Confirmation of bleeding control prior to abdominal closure.
Application of Hayman vertical compression sutures

Primary outcomes

Intra-operative estimated blood loss

Time frame: During operation

Study contacts

Contact information is provided by the study sponsor or research team.

Abdallah Mousa, M.D.

CONTACT

[email protected]

+20 1277664430

Asmaa Ali

CONTACT

[email protected]

+20 1222338010

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Important dates

Study start: 2026
Primary completion: 2026
Study completion: 2026
First posted: Apr 9, 2026
Registry last updated: Apr 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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