Bladder Suture in Uterus-Sparing Surgery and Hysterectomy for Placenta Percreta

Necmettin Erbakan University

Status: Completed

Conditions: Placenta Percreta; Bladder Injury; Sutures

Treatments: Procedure: ACAR-Style Bladder Suture

Study type: Observational

Funder types: Other

Identifiers

NCT06267599

ACAR-Style Bladder Suture

Details and patient eligibility

About

This study aimed to evaluate the short-term and long-term complications of placenta percreta with bladder invasion. This evaluation focuses on cases where bladder dissection and ACAR-style bladder sutures were applied in cases of placenta percreta with bladder invasion that underwent uterine-sparing surgery or hysterectomy.

Enrollment: 81 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pregnant women
• Clinical diagnosis of PAS
• PAS with bladder invasion

Exclusion criteria

• Cases with incomplete or inadequate medical records
• Cases with other types of placental invasion (e.g., placenta accreta, placenta increta),
• Cases with missing key data points.

Trial design

81 participants in 2 patient groups

Bladder suture group

Description:

This group consisted of patients in whom we could not open the bladder and uterine cervix by dissection, so we had to open the bladder. In this group, the bladder dome was opened and a special suture was passed through the bladder to control bleeding. This procedure was performed to control bleeding.

Treatment:

Procedure: ACAR-Style Bladder Suture

Control group

Description:

For the patients in this group, the vascular structures between the bladder and cervix were coagulated one by one. The bladder was not opened during this procedure.