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Completed

NCT Number: NCT03824873

Internal Iliac Artery Ligation Before Cesarean Hysterectomy in Morbidly Adherent Placenta

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.

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Key information

Conditions

Blood Loss Female Urogenital Diseases and Pregnancy Complications Hemorrhage Obstetric Labor Complications Pathologic Processes Pathological Conditions, Signs and Symptoms Placenta Accreta Placenta Diseases Placenta Previa Pregnancy Complications Urogenital Diseases

Age range

25 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 3

Primary location

Ain Shams University Maternity Hospital

Cairo, Egypt

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

internal iliac artery ligation

Procedure

Internal iliac artery ligation and cesarean hysterectomy

Other names: cesarean hysterectomy

Cesarean Hysterectomy

Procedure

cesarean hysterectomy

Primary outcomes

  1. Amount of blood loss

    Time frame: intraoperative

  2. Amount of Blood transfusion needed in mililiters

    Time frame: 24 hours

Secondary outcomes

  1. change of hemoglobin

    Time frame: 24 hours

  2. change of hematocrit

    Time frame: 24 hours

  3. operative time

    Time frame: intraoperative

  4. incidence of injury of important structures during operation

    Time frame: intraoperative

    incidence of injury of important structures during operation as urinary bladder, ureteric, intestinal or great vessels injury

Sponsors and collaborators

Lead sponsor

Ain Shams University

Other

Registry information

Official study title

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

Important dates

Study start
2017
Primary completion
2020
Study completion
2020
First posted
Jan 31, 2019
Registry last updated
Jul 8, 2020

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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