Clinical trials: Placenta Accreta Management
Bladder Injury, Complications; Cesarean Section
Cystoinflation to Prevent Bladder Injury in Obstetrics and Gynaecology Surgery
Part1:The healthy pregnant women with previous operative deliveries admitted for elective C-section will be counselled and conditioned informed consent will be taken to be included in either study group if dense pelvic adhesions…
- Conditions
- Bladder Injury, Complications; Cesarean Section, Adhesions Pelvic
- Trial name
- NCT04302545
- Testing
- Cystoinflation
- Where
- Pakistan
- Volunteers
- 564 people, healthy volunteers welcome
- Sponsor
- Shazia Saaqib
Placenta Accreta
Evaluation of Planned Conservative Surgical Management of Placenta Accreta Spectrum in Women's Health Center, Assiut University Hospital
In recent years, with the application of an abdominal artery balloon and the improvement of surgical techniques, efforts are made to preserve the uterus for patients PAS.
- Trial name
- NCT06712576
- Volunteers
- 150 people
- Sponsor
- Assiut University
Urologic Injuries, Urodynamic Changes
Urodynamic Changes Following Bladder Injury
This study is a unique one as it si done for first time to all patients following bladder injury in PAS surgery. Bladder function will be assessed by urodynamic study.
- Conditions
- Urologic Injuries, Urodynamic Changes, Bladder Dysfunction
- Trial name
- Uro-PAS (NCT04835766)
- Testing
- Urodynamic study
- Where
- Egypt
- Volunteers
- 120 people
- Sponsor
- Tanta University
Placenta Accreta
Internal Iliac Artery Ligation During Management of Placenta Accreta Spectrum
Vessels ligation have been used as a part of conservative management in treatment of placenta accrete spectrum to decrease blood loss as uterine artery ligation and internal iliac artery ligation.
- Trial name
- NCT04593303
- Testing
- Internal iliac artery ligation with cervicoisthmic compression suture, Cervicoisthmic compression suture without Internal iliac artery ligation
- Where
- Egypt
- Volunteers
- 42 people
- Sponsor
- Mansoura University Hospital
Decrease Maternal Morbidity
Transverse B-Lynch in Management of Placenta Accreta
Placenta accreta is considered a severe pregnancy complication that may be associated with massive and potentially life-threatening intrapartum and postpartum hemorrhage.
- Trial name
- NCT02943421
- Testing
- Transverse B-Lynch suture
- Where
- Egypt
- Volunteers
- 50 people
- Sponsor
- Assiut University
Placenta Accreta
Effectivness of Conservative Techniques in Management of PAS
To evaluate the effectiveness of conservative techniques for placenta accreta spectrum to reduce maternal mortality and morbidity
- Trial name
- NCT05104177
- Testing
- conservative tecchniques in management of PAS
- Volunteers
- 80 people
- Sponsor
- Assiut University
Improving Quality of Life
Uterine Cavity and Blood Flow After Conservative Management of Placenta Previa/Accreta
Bleeding is the most significant cause of maternal death worldwide with more than half of those occurring within the first day of delivery.
- Trial name
- NCT02878187
- Testing
- Doppler
- Where
- Egypt
- Volunteers
- 100 people
- Sponsor
- Assiut University
Placenta Accreta
Conservative Management for PAS Pilot
Conservative in situ management is a promising alternative treatment to hysterectomy for patients with placenta accreta spectrum and may be safer and preferable for some patients.
- Trial name
- NCT05139498
- Testing
- Conservative management for placenta accreta spectrum (PAS), Cesarean hysterectomy for placenta accreta spectrum (PAS)
- Where
- United States
- Volunteers
- 4 people
- Sponsor
- University of Utah
Placenta Previa, Placenta Accreta
Management of Placenta Accreta Spectrum
placenta accreta spectrum is group of disorders which have a depate about the best way of management. this is a descriptive study about the best techniques to reduce morbidity and mortalities related to it.
- Trial name
- NCT04609527
- Testing
- Management of placenta accreta spectrum
- Where
- 2 sites in Egypt
- Volunteers
- 30 people
- Sponsor
- Assiut University
Placenta Accreta
Feasibility of HIFU for Management of Placenta Accreta (HIFU-ACCRETA)
Placental accretion during pregnancy refers to an abnormally deep insertion of the placenta into the uterus, leading to the impossibility of removing the placenta without inducting uterine or surrounding organs lesions.
- Trial name
- HIFU-ACCRETA (NCT04003428)
- Testing
- High Intensity Focused Ultrasound
- Sponsor
- Hospices Civils de Lyon
Placenta Accreta Management
Total Lower Uterine Segmentectomy With Adjunctive Mechanical Towel Compression for the Surgical Management of Placenta Accreta Spectrum Disorders
The goal of this observational study is to evaluate the feasibility and safety of utilizing adjunctive mechanical towel compression during TLS-CCA, measured primarily by estimated intraoperative blood loss in patient with…
- Trial name
- NCT07706062
- Volunteers
- 30 people
- Sponsor
- Assiut University
Placenta Accreta
Hysteroscopic Follow-up Following Conservative Stepwise Surgical Approach for Management of Placenta Previa Accreta
Conservative management of placenta accreta spectrum can preserve future fertility but should only be done in hospitals with enough experience as it carries a high risk of maternal complications.
- Trial name
- NCT06029985
- Testing
- Hysteroscopic Follow Up
- Where
- Egypt
- Volunteers
- 50 people
- Sponsor
- Ain Shams Maternity Hospital
Placenta Accreta Spectrum
Evaluation of Different Surgical Approaches Used for Conservative Management of Placenta Accreta Spectrum in Sohag University Hospital
The objective of this study is to evaluate different intra-operative procedures to control bleeding in cases of PAS disorders aiming to determine the best procedure regarding maternal morbidity and mortality post-operatively, and…
- Trial name
- NCT05510076
- Where
- Egypt
- Volunteers
- 60 people, healthy volunteers welcome
- Sponsor
- Sohag University
Placenta Accreta
Comparison Between Hysterectomy and Conservative Management in Treatment of Placenta Accreta Regarding Maternal Complication
AIM OF THE WORK The aim of the study is to compare the maternal morbidity and mortality between obstetric hysterectomy and conservative surgery for pregnant ladies > 28 weeks with placenta accreta during caesarean section at Ain…
- Trial name
- NCT03327818
- Testing
- hysterectomy, uterine conservative study
- Volunteers
- 491 people
- Sponsor
- Ain Shams Maternity Hospital
Cervical IO Plasty in Management of Placenta Previa
Cervical Internal os Plasty in Management of Placenta Previa and Focal Accreta
Aim of the work: Better management \& reducing hemorrhage and complication in patients placenta previa and focal accreta .
- Trial name
- NCT05560984
- Testing
- cervical internal os plasty
- Volunteers
- 40 people
- Sponsor
- Zagazig University
Placenta Accreta Spectrum
Conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique With or Without Hayman Sutures
This study evaluates whether adding Hayman sutures in the conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique reduces intraoperative blood loss and improves outcomes
- Trial name
- NCT07519993
- Testing
- Kasr Al-Ainy Technique Alone, Kasr Al-Ainy Technique + Hayman Sutures
- Volunteers
- 48 people
- Sponsor
- Cairo University
Placenta Accreta
Conservative Management of Morbidly Adherent Anterior Situated Placenta
Placenta accreta is defined as abnormal trophoblast invasion of part or the entire placenta into the myometrium of the uterine wall.
- Trial name
- NCT04579172
- Testing
- Cervico- isthmic compression suture, Anterior wall uterine resection:
- Where
- Egypt
- Volunteers
- 40 people
- Sponsor
- Mansoura University Hospital
Placenta Accreta, Cesarean Hysterectomy
Conservative Treatment of PAS With or Without IIL
In the current study, the investigators aimed to compare the benefits of internal iliac ligation in placenta accreta spectrum
- Conditions
- Placenta Accreta, Cesarean Hysterectomy, Pelvic Devascularization
- Trial name
- PASIIL (NCT05232981)
- Testing
- Ligation of the bilateral internal iliac arteries, Shehat's technique
- Where
- Egypt
- Volunteers
- 90 people
- Sponsor
- Tanta University
Placenta Previa, Placenta Accreta
Efficacy of Prophylactic Internal Iliac Artery Balloon Catheterization in the Management of Placenta Previa and Accreta
Placenta previa and accreta both could potentially cause serious postpartum hemorrhage and even maternal death. Interventional radiological techniques have been developed to limit massive hemorrhage during caesarean section.
- Trial name
- NCT02966197
- Testing
- prophylactic internal iliac artery balloon catheterization, Prophylactic internal iliac artery balloon, Radiology operation
- Volunteers
- 114 people
- Sponsor
- Deng Dongrui
Placenta Accreta Management
Observation of Strategies in Placenta Accreta Spectrum Management
Placenta accreta spectrum (PAS) disorders represent a significant obstetric challenge, characterized by abnormal adherence of the placenta to the uterine wall, leading to potentially life-threatening hemorrhage (ACOG 2020; RCOG…
- Trial name
- NCT07236710
- Volunteers
- 300 people
- Sponsor
- Assiut University