Placenta Accreta Spectrum Management: Uterine Preservation Using JSICA Technique - Retrospective Cross-Sectional Study

Dr Cipto Mangunkusumo General Hospital

Status: Completed

Conditions: Placenta Accreta

Treatments: Procedure: Standard Hysterectomy; Procedure: Jakarta Surgical Uterine Conservation (JSICA) Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05871645

22-05-0541

Details and patient eligibility

About

The goal of this study is to present the Jakarta Surgical Uterine Conservation (JSICA) technique and its perioperative outcomes in Placenta Accreta Spectrum patients. Participants are all patients undergoing standard hysterectomy or the Jakarta Surgical Uterine Conservation (JSICA) technique. Researchers will compare both groups to see if there are any differences in the perioperative outcomes.

Full description

This study uses data from Cipto Mangunkusumo General Hospital's Placenta Accreta Case Register. This register includes all patients with a confirmed placenta accreta spectrum diagnosis. Data collected includes demographic characteristics, risk factors, surgery characteristics, and perioperative outcomes. In this study, researchers would like to evaluate the perioperative outcomes of the JSICA technique in comparison to a standard hysterectomy.

Enrollment: 323 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for JSICA:

1. Focal accreta invasion ( < 50% anterior wall)
2. Anterior invasion
3. No parametrial or bladder invasion
4. Residual tissue or healthy myometrium min 3 cm above the OUI or cervix
5. Good uterine contraction post-repair (with or without compression sutures)
6. Hemodynamically stable

Exclusion Criteria:

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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323 participants in 2 patient groups

Jakarta Surgical Uterine Conservation (JSICA) technique

Experimental group

Description:

Cipto Mangunkusumo General Hospital's novel uterine preservation technique based on standard procedure

Treatment:

Procedure: Jakarta Surgical Uterine Conservation (JSICA) Technique

Standard Hysterectomy

Active Comparator group

Description:

Surgery to remove the uterus

Treatment:

Procedure: Standard Hysterectomy