Bilateral Internal Iliac Artery Ligation Before Cesarean Hysterectomy
NCT ID: NCT03129035
Last Updated: 2017-04-26
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
100 participants
INTERVENTIONAL
2017-05-31
2018-02-28
Brief Summary
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Women were randomized to either bilateral internal iliac artery ligation before hysterectomy and after fetal extraction or no additional intervention
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Detailed Description
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Women were randomized to either bilateral internal iliac artery ligation before hysterectomy and after fetal extraction or no additional intervention.
Midline incision in the all patients is preferred. The retroperitoneal space was entered at the level of common iliac bifurcation and followed to the point of division into the external and internal iliac arteries. The ureter was retracted medially by gentle finger dissection, revealing the retroperitoneal anatomy. The fat and loose connective tissue around the IIA and vein were removed and a right-angle clamp was passed beneath the IIA from the lateral to the medial side approximately 4 cm distal to its origin.
Using an absorbable suture, the IIA was ligated doubly in all cases . Pulsations of the external iliac and femoral arteries were identified after internal iliac ligation. The procedure was then repeated on the other side.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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internal iliac artery ligation
women undergo bilateral internal iliac artery ligation after fetal extraction and before proceeding in cesarean hysterectomy
Cesarean hystrectomy
Upper segment cesarean section followed by fetal extraction and cesarean hystrectomy started without any attempts of placental removal
Internal iliac artery ligation
The retroperitoneal space was entered at the level of common iliac bifurcation and followed to the point of division into the external and internal iliac arteries. The ureter was retracted medially by gentle finger dissection, revealing the retroperitoneal anatomy. The fat and loose connective tissue around the IIA and vein were removed and a right-angle clamp was passed beneath the IIA from the lateral to the medial side approximately 4 cm distal to its origin. Using an absorbable suture, the IIA was ligated doubly in all cases . Pulsations of the external iliac and femoral arteries were identified after internal iliac ligation. The procedure was then repeated on the other side
No internal iliac artery ligation
Women undergo cesarean hysterectomy after fetal extraction
Cesarean hystrectomy
Upper segment cesarean section followed by fetal extraction and cesarean hystrectomy started without any attempts of placental removal
Interventions
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Cesarean hystrectomy
Upper segment cesarean section followed by fetal extraction and cesarean hystrectomy started without any attempts of placental removal
Internal iliac artery ligation
The retroperitoneal space was entered at the level of common iliac bifurcation and followed to the point of division into the external and internal iliac arteries. The ureter was retracted medially by gentle finger dissection, revealing the retroperitoneal anatomy. The fat and loose connective tissue around the IIA and vein were removed and a right-angle clamp was passed beneath the IIA from the lateral to the medial side approximately 4 cm distal to its origin. Using an absorbable suture, the IIA was ligated doubly in all cases . Pulsations of the external iliac and femoral arteries were identified after internal iliac ligation. The procedure was then repeated on the other side
Eligibility Criteria
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Inclusion Criteria
* Scarred uterus
* Approving hysterectomy
Exclusion Criteria
* women with coagulopathy or bleeding disorders
20 Years
44 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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Other Identifiers
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4
Identifier Type: -
Identifier Source: org_study_id
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