management of abnormal lower uterine segment after fetal delivery in cesarean section

multiple lower uterine plication sutures with both uterine arteries included at each suture in management of abnormal lower uterine segment with placenta previa ,accreta and thinned out segement

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12616001660471

Enrollment

Registered

2016-12-01

Start date

2016-10-05

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study will be conducted in shatby hospital over 30 patients, 3 groups will be included. One with thinned out lower segment . One with placenta previa. One with placenta accreta All will undergo multiple transverse compression suture with bilateral uterine artery included in suture. The main outcome is success of procedure in arrest in bleeding.

Interventions

Multiple lower uterine plication sutures with bilateral uterine artery ligation in the same suture starting low down and going up to the uterine incision. obstetrician with minimum 5 years’ experience will do the surgery after fetal delivery.. The approximate duration of the procedure one hour ..

Study design

Allocation

Non-randomised trial

Primary purpose

Treatment

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Participants will be included if they have one of the following: 1. ballooned and oozing lower uterine segment from placenta previa 2. placenta accreta 3. thinned out lower segment

Exclusion criteria

1.placenta percreta 2.hemodynamically unstable

Outcome results