Internal Iliac Artery Ligation Before Cesarean Hysterectomy in Morbidly Adherent Placenta

Ain Shams University40 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Blood Loss

Interventions

Internal iliac artery ligationPROCEDURE

Internal iliac artery ligation and cesarean hysterectomy

cesarean hysterectomyPROCEDURE

cesarean hysterectomy

Eligibility

Sex: FEMALEMin age: 25 YearsMax age: 40 Years

Medical Language ↔ Plain English

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

Locations (1)

Ain Shams University Maternity Hospital

Cairo, Egypt

Outcomes

Primary Outcomes

Amount of blood loss

Time frame: intraoperative

Amount of Blood transfusion needed in mililiters

Time frame: 24 hours

Secondary Outcomes

change of hemoglobin

Time frame: 24 hours

change of hematocrit

Time frame: 24 hours

operative time

Time frame: intraoperative

incidence of injury of important structures during operation

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

Time frame: intraoperative

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.