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Comparison Between 3 Conservative Surgeries for Placenta Accreta Spectrum

A

Assiut University

Status

Enrolling

Conditions

Placenta Accreta Spectrum

Treatments

Procedure: Segment Resection
Procedure: Modified one-step surgery
Procedure: Placental bed suturing

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Comparison between modified one-step surgery vs. Segment Resection vs. placental bed suturing for management of placenta accreta spectrum

Full description

Placenta accreta spectrum (PAS) represents a severe obstetric disorder, defined by abnormal migration of the placenta into the myometrium, which leads to incomplete or absent placental separation following delivery. Peripartum caesarean hysterectomy remains the most widely used treatment and is regarded as the gold standard in the majority of clinical settings. Recent international and national guidelines recognize uterus-preserving surgery, including focal resection, as a valid management option in centres of excellence for selected women. However, long-term data on physical outcomes following these procedures remain limited. This study aimed to evaluate intraoperative and postoperative outcomes of patients with placenta accreta spectrum treated with modified one-step conservative surgery, Myometrial segment Resection or placental bed suturing.

Enrollment

42 estimated patients

Sex

Female

Volunteers

No Healthy Volunteers

Inclusion criteria

  • pregnant women with placenta accreta spectrum

Exclusion criteria

  • Patients refuse to share in the study
  • Pregnant < 28 weeks

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Single Group Assignment

Masking

Double Blind

42 participants in 3 patient groups

Modified one-step surgery
Experimental group
Treatment:
Procedure: Modified one-step surgery
Segment Resection
Experimental group
Treatment:
Procedure: Segment Resection
Placental bed suturing
Experimental group
Treatment:
Procedure: Placental bed suturing

Trial contacts and locations

1

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Central trial contact

Mohammed Gamal, PhD

Data sourced from clinicaltrials.gov

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