Conservative Management, Placenta Accreta, Uterine Cavity
Conditions
Brief summary
This study aimed to evaluate the endometrial cavity by hysteroscopy after different conservative management of placenta accrete spectrum (PAS), that has impact on the future fertility outcome and menstrual pattern of patients.
Detailed description
Placenta Accreta Spectrum is usually associated with maternal morbidity and mortality. The morbidly adherent placenta spectrum includes, placenta accreta when the placenta invades the endometrium beyond Nitabuch's layer of decidua basalis, placenta increta when the placenta invades the myometrium, and placenta percreta when the placenta invades the uterine serosa. The risk factors of PAS include previous caesarean section (CS), previous myomectomy, placenta previa, and damage of Nitabuch's layer following intrauterine infection and/or endometrial curettage.
Interventions
PROCEDUREResection and reconstruction
Patients underwent resection and reconstruction.
PROCEDURECervical eversion and pouch closure
Patients underwent cervical eversion and pouch closure.
PROCEDUREAnterior and posterior sutures
Patients underwent anterior and posterior sutures.
Sponsors
Sohag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Age from 20 to 40 years. * Pregnant women more than 28 weeks have a desire to preserve future fertility. * Diagnosis of Placenta accreta spectrum (PAS) was evaluated by 2 D grey scale ultrasound and Doppler study of invasion of the placenta. * History of at least previous caesarean section (CS) or any intrauterine operation like myomectomy. * Females with history of different conservatives management methods of PAS in last three months.
Exclusion criteria
* Non placenta accreta spectrum and primigravida. * Those who have congenital anomalies in the uterus. * Those with bleeding tendency. * Those women that had hysterectomy as a radical surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with restoration of the endometrial cavity assessed by office hysteroscopy | 3 months after cesarean section | Assessment of endometrial cavity restoration by office hysteroscopy 3 months after conservative management of placenta accreta spectrum. |
Countries
Egypt
Outcome results
None listed