Blood Loss
Conditions
Keywords
Internal iliac artery, Internal iliac artery ligation, Placenta previa, Placenta accreta, cesarean hysterectomy
Brief summary
40 pregnant females at term diagnosed with morbidly adherent placenta and planned for elective cesarean section were recruited and randomized to 2 groups. Group A: Internal iliac ligation followed by cesarean hysterectomy. Group B: cesarean hysterectomy.
Interventions
PROCEDUREInternal iliac artery ligation
Internal iliac artery ligation and cesarean hysterectomy
PROCEDUREcesarean hysterectomy
cesarean hysterectomy
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
25 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Placenta previa accreta * Previous 2 cesarean section * completed her family * Hemoglobin \> 11 gm/dl * Elective cesarean hysterectomy
Exclusion criteria
* Anemia ( Hemoglobin \< 11 gm/dl) * Not completed her family * BMI \> 35 Kg/m2 * Bleeding tendency * Emergengy cesarean section * Thrombophilia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Amount of blood loss | intraoperative |
| Amount of Blood transfusion needed in mililiters | 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change of hemoglobin | 24 hours | — |
| change of hematocrit | 24 hours | — |
| operative time | intraoperative | — |
| incidence of injury of important structures during operation | intraoperative | incidence of injury of important structures during operation as urinary bladder, ureteric, intestinal or great vessels injury |
Countries
Egypt
Outcome results
None listed