Comparison between bladder dissection at the beginning of cesarean section For morbidly adherent placenta and between delaying dissection until planning for cesarean hysterectomy
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
Comparison between bladder dissection at the beginning of cesarean section For morbidly adherent placenta and between delaying dissection until planning for cesarean hysterectomy
Ain Shams University Maternity Hospital
Cairo, Egypt
RECRUITINGOperative time
of whole cs
Time frame: icluding all cs over the period of one year
Blood loss
through counting soaked towels and weighting them before and after being soaked considering the difference in grams as the calculated blood loss and calculating blood in the suction reservoir and comparing pre and post operative Hb level also haemotacrit level and number of units of packed RBCs transfused
Time frame: icluding all cs over the period of one year
- Incidence of urological
\- Incidence of urological injuries discovered intraoperative and procedure needed to repair or as a late complication as fistula formation.
Time frame: during cs and post operative delayed complication icluding all cs over the period of one year
Neonatal APGAR score
Neonatal APGAR score
Time frame: after delivery of the baby during the 1st 15 minutes
Time taken to create bladder flap
from the start of bladder dissection
Time frame: from the start of bladder dissection icluding all cs over the period of one year
3 months post operative filling cystometry
3 months post operative filling cystometry
Time frame: 3 months post operative
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