Effect of Uterine Artery Ligation Prior to Uterine Incision in Women With Placenta Previa
NCT ID: NCT03124472
Last Updated: 2018-01-31
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
200 participants
INTERVENTIONAL
2017-06-01
2018-06-30
Brief Summary
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* The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment.
* Uterine artery ligation was performed by grasping the broad ligament with thumb anterior and the index finger lifting the base below the site uterine incision; the uterine artery was singly ligated with No. 1 vicryl suture. Myometrium was included so that uterine vessels are not damaged.
* Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta Delivery of the baby and placenta.
* Closure of the uterine incision in 2 layers with N0. 1 vicryl suture.
* Closure of the anterior abdominal wall in layers
Detailed Description
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* The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment.
* Uterine artery ligation was performed by grasping the broad ligament with thumb anterior and the index finger lifting the base below the site uterine incision; the uterine artery was singly ligated with No. 1 vicryl suture. Myometrium was included so that uterine vessels are not damaged.
* Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta Delivery of the baby and placenta.
* Closure of the uterine incision in 2 layers with N0. 1 vicryl suture.
* Closure of the anterior abdominal wall in layers In the control group, lower segment caesarean section is without uterine artery ligation
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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uterine artery ligation
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers.
* The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment.
* Uterine artery ligation was performed by grasping the broad ligament with thumb anterior and the index finger lifting the base below the site uterine incision; the uterine artery was singly ligated with No. 1 vicryl suture. Myometrium was included so that uterine vessels are not damaged.
* Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta.
uterine artery ligation
Uterine artery ligation was performed by grasping the broad ligament with thumb anterior and the index finger lifting the base below the site uterine incision; the uterine artery was singly ligated with No. 1 vicryl suture. Myometrium was included so that uterine vessels are not damaged
Lower segment Cesarean section
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers.
\- The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment.
Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta Delivery of the baby and placenta.
* Closure of the uterine incision in 2 layers with N0. 1 vicryl suture.
* Closure of the anterior abdominal wall in layers
Traditional lower segment Cesarean section
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers.
* The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment.
* Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta.
Lower segment Cesarean section
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers.
\- The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment.
Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta Delivery of the baby and placenta.
* Closure of the uterine incision in 2 layers with N0. 1 vicryl suture.
* Closure of the anterior abdominal wall in layers
Interventions
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uterine artery ligation
Uterine artery ligation was performed by grasping the broad ligament with thumb anterior and the index finger lifting the base below the site uterine incision; the uterine artery was singly ligated with No. 1 vicryl suture. Myometrium was included so that uterine vessels are not damaged
Lower segment Cesarean section
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers.
\- The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment.
Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta Delivery of the baby and placenta.
* Closure of the uterine incision in 2 layers with N0. 1 vicryl suture.
* Closure of the anterior abdominal wall in layers
Eligibility Criteria
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Inclusion Criteria
* plan is elective caesarean section
* Gestational age \>34 weeks
Exclusion Criteria
* medical disorders as hypertension or Diabetes Mellitus
* Coagulation defects.
* Emergency Cesarean section
* women with antepartum hemorrhage
* patients with marked ahdesions or those with non possible uterine artery ligation
19 Years
40 Years
FEMALE
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Ahmed Maged
Professor
Principal Investigators
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Ahmed Maged, MD
Role: PRINCIPAL_INVESTIGATOR
Kasr Alainy medical school
Locations
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Kasr Alainy medical school
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Ahmed Maged, MD
Role: primary
Other Identifiers
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169
Identifier Type: -
Identifier Source: org_study_id