Internal Iliac Artery Ligation Before Cesarean Hysterectomy in Morbidly Adherent Placenta

Ain Shams University

Status and phase: Completed; Phase 3

Conditions: Blood Loss

Treatments: Procedure: cesarean hysterectomy; Procedure: Internal iliac artery ligation

Study type: Interventional

Funder types: Other

Identifiers

NCT03824873

AS1862

Details and patient eligibility

About

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.

Enrollment: 40 patients

Sex: Female

Ages: 25 to 40 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

internal iliac artery ligation + cesarean hysterectomy

Active Comparator group

Treatment:

Procedure: Internal iliac artery ligation

Procedure: cesarean hysterectomy

cesarean hysterectomy

Active Comparator group

Treatment:

Procedure: cesarean hysterectomy