completed
Conditions
Interventions
group 1 will be operated by Assar'
s technique that include: 1-Vascular ligation of both Uterine and internal iliac arteries 2-excision of lower segment with placenta enblock 3-cervico-isthmic approximation
Group 2 operated by sh
s technique which include: 1- double ligation of uterine arteries on both sides before and after placental separation 2- suturing of placenta bed with 2 quadrable sutures 3-insetion of triple way
s catheter
Sponsors
Tanta University
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: (a) Preoperative diagnosis of PAS either by ultrasound or magnetic resonance imaging (MRI) (b) patients wishing future fertility, (c) patients declined hysterectomy.
Exclusion criteria
Exclusion criteria: (a) Patients completing their family (b)Patients accepting hysterectomy (c) hemodynamic instability (d) patient with more than 3 prior cesarean sections
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome was the success of the procedure in preserving the uterus. | — |
Secondary
| Measure | Time frame |
|---|---|
| need for any other interventions, need for ICU, re-admonitions and re-operation. | — |
Countries
Africa
Contacts
Public ContactAyman Dawood
Tanta University Ayman Shehata Dawood
Outcome results
None listed