Clinical trials: Placenta Accreta Management
Placenta Accreta, Post Partum Hemorrhage
Tourniquet Reduces Blood Loss in Postpartum Hemorrhage During Hysterectomy for Placenta Accreta
Monocentric prospective observational study comparing the use of tourniquet in low uterus segement versus standard procedure in hysterectomy owing to placenta accreta
- Conditions
- Placenta Accreta, Post Partum Hemorrhage, Blood Loss Massive
- Trial name
- NCT03707132
- Testing
- Tourniquet: Folley catheter in the low segment of the uterus
- Volunteers
- 43 people
- Sponsor
- University Tunis El Manar
Placenta Accreta, Third Trimester
the Efficacy and Safety of the 3-steps Conservative Approach in the Management of Placenta Accreta Spectrum (a Novel Technique)
Placenta accrete spectrum (PAS) is an heterogeneous condition associated with a high maternal morbidity and mortality rate, presenting unique challenges in its diagnosis and management (Morlandoi et al., 2020).
- Trial name
- NCT05191316
- Where
- Egypt
- Volunteers
- 28 people
- Sponsor
- Cairo University
Placenta Accreta, Postpartum Hemorrhage
Perioperative Administration of Tranexamic Acid for Placenta Previa and Accreta Study
The purpose of this pilot study is to determine if intravenous tranexamic acid (TXA) is effective for reducing blood loss during high risk surgical procedures related to placenta previa and placenta accreta.
- Conditions
- Placenta Accreta, Postpartum Hemorrhage, Cesarean Section, Tranexamic Acid
- Trial name
- TAPPAS (NCT02806024)
- Testing
- Tranexamic Acid
- Where
- United States
- Volunteers
- 14 people
- Sponsor
- University of California, San Francisco
Placenta Accreta Spectrum
Comparison Between 3 Conservative Surgeries for Placenta Accreta Spectrum
Comparison between modified one-step surgery vs. Segment Resection vs. placental bed suturing for management of placenta accreta spectrum
- Trial name
- NCT07520201
- Testing
- Modified one-step surgery, Segment Resection, Placental bed suturing
- Where
- Egypt
- Volunteers
- 42 people
- Sponsor
- Assiut University
Placenta Accreta
Simplified Conservative Measures in Managing Morbidly Adherent Placenta in Beni-Suef University
To evaluate the efficacy of modified uterine artery ligation and myometrial compression as a conservative measure in improving the prognosis of the morbidly adherent placenta.
- Trial name
- NCT06465836
- Testing
- O, lreay suture, modified O, lreay suture
- Where
- Egypt
- Volunteers
- 172 people
- Sponsor
- Nesreen Abdel Fattah Abdullah Shehata
Placenta Accreta
Placenta Accreta Spectrum Management: Uterine Preservation Using JSICA Technique - Retrospective Cross-Sectional Study
The goal of this study is to present the Jakarta Surgical Uterine Conservation (JSICA) technique and its perioperative outcomes in Placenta Accreta Spectrum patients.
- Trial name
- NCT05871645
- Testing
- Jakarta Surgical Uterine Conservation (JSICA) Technique, Standard Hysterectomy
- Where
- Indonesia
- Volunteers
- 323 people
- Sponsor
- Dr Cipto Mangunkusumo General Hospital
Placenta Accreta, Post Partum Hemorrhage
Conservative Management of Placenta Accreta Spectrum
The resective-constructive surgery, detailed in prior research by Palacios-Jaraquemada JM, involves excising the placenta and its attachment on the myometrium, with modifications including the systematic use of a double JJ probe…
- Conditions
- Placenta Accreta, Post Partum Hemorrhage, Blood Loss Massive
- Trial name
- NCT06253832
- Testing
- conservative surgery for placenta accreta spectrum, hysterectomy
- Where
- Tunisia
- Volunteers
- 36 people
- Sponsor
- Tunis University
Placenta Accreta
Bilateral Uterine Artery Ligation in PPC Technique for Management of PAS
Aim of the study Primary outcomes: 1. The effect of bilateral uterine artery ligation in reducing intraoperative bleeding in women underwent PPC as a conservative surgical technique. 2. Decrease surgical time.
- Trial name
- NCT05314595
- Testing
- bilateral uterine artery ligation
- Where
- Egypt
- Volunteers
- 130 people
- Sponsor
- Assiut University
Morbidly Adherent Placenta
Morbidly Adherent Placenta, Diagnosis and Proper Management
The main idea of this study is to establish the diagnostic criteria for cases of morbidly adherent placenta (MAP) using different ultrasonographic modalities and compare this with intra-operative findings and postoperative…
- Trial name
- NCT05307016
- Testing
- Two dimensional ultrasonography power and color doppler
- Where
- Egypt
- Volunteers
- 100 people
- Sponsor
- Sohag University
Placenta Accreta Spectrum
Uterine Preservation in the Management of Placenta Accreta Spectrum Disorders
This study for the conservative management of placenta accreta spectrum disorders (PAS), which are a major cause of maternal morbidity and mortality.
- Trial name
- U-PRESERVE (NCT06512181)
- Testing
- Conservative/Expectant Management
- Where
- United States
- Volunteers
- 15 people
- Sponsor
- University of Pennsylvania
Placenta Accreta
Multidisciplinary Team in Management of Placenta Accreta
comparative study between the incidence of urological injury in case of placenta accreta in cases where urological surgical staff are participating in the operation from the start and in cases where the operation is carried by…
- Trial name
- NCT03372538
- Testing
- cesarean section or cesarean hysterectomy
- Where
- Egypt
- Volunteers
- 1,000 people
- Sponsor
- Kasr El Aini Hospital
Placenta Accreta
PDIUC Protocol for Placental Accreta
The aim of this study is to evaluate a novel protocol to conserve the uterus during Cesarean delivery indicated for placenta accreta.
- Trial name
- PDIUC (NCT03273569)
- Testing
- PDI-UC protocol
- Volunteers
- 30 people
- Sponsor
- Assiut University
Placenta Accreta
Ligation of Anterior Internal Iliac Artery With Conservative Management of Partial or Focal Placenta Accreta Spectrum
The patients will be divided into 2 groups: Group (A) - Study group: Cases managed by lower segment resection with ligation of the anterior division of the internal iliac artery Group (B) - Control group: Cases managed by lower…
- Trial name
- NCT05471102
- Testing
- Study group: lower segment resection with ligation of the anterior division of the internal iliac artery, Control group: lower segment resection without ligation of the anterior division of the internal iliac artery
- Where
- Egypt
- Volunteers
- 44 people, healthy volunteers welcome
- Sponsor
- Cairo University
Uterine Cavity, Conservative Management
Endometrial Cavity After Conservative Management of PAS Patients by Hysteroscopy
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.
- Conditions
- Uterine Cavity, Conservative Management, Placenta Accreta
- Trial name
- NCT07662187
- Testing
- Resection and reconstruction, Cervical eversion and pouch closure, Anterior and posterior sutures
- Where
- Egypt
- Volunteers
- 150 people
- Sponsor
- Sohag University
Placenta Accreta
The Efficacy of a Temporary Sub-Placental Uterine Tourniquet in Minimizing Intraoperative Blood Loss in Management of Placenta Accreta Spectrum Disorder by a Retrograde Cesarean Hysterectomy (Bladder Last)
This trial will study the role of a temporary tourniquet around the uterus to reduce blood loss in management of patients with abnormally implanted placenta who will undergo removal of the uterus.
- Trial name
- NCT05936645
- Testing
- A temporary sub-placental Uterine Tourniquet in management of Placenta Accreta Spectrum disorder by a retrograde cesarean hysterectomy (Bladder Last), Retrograde cesarean hysterectomy (Bladder Last) for management of Placenta Accreta Spectrum disorder
- Where
- Egypt
- Volunteers
- 30 people
- Sponsor
- Cairo University
Internal Iliac Artery, Balloon Occlusion
Evaluation of Bilateral Internal Iliac Artery Balloon Occlusion in Placenta Accreta Spectrum Management
This study aims to evaluate the efficacy and safety of bilateral internal iliac artery balloon occlusion in the management of the placenta accreta spectrum.
- Conditions
- Internal Iliac Artery, Balloon Occlusion, Placenta Accreta Spectrum
- Trial name
- NCT06562712
- Testing
- Conventional management, Bilateral internal iliac artery balloon occlusion
- Where
- Egypt
- Volunteers
- 30 people
- Sponsor
- Tanta University
Cesarean Section Complications
Comparison of N&H Sandwich Technique and Cesarean Hysterectomy in Management of Placenta Accreta Spectrum
The placenta accreta spectrum (PAS)is one of the most common reasons for cesarean hysterectomy Which associated with high rates of severe maternal morbidity (40%-50%), with reported mortality rates up to 7%.
- Trial name
- NCT03701386
- Testing
- cesarean hysterectomy, N&H sandwich technique
- Where
- Egypt
- Volunteers
- 100 people
- Sponsor
- Aswan University Hospital
Obstetric Complication
Caesarean Hysterectomy Versus Conservative Management of Placenta Accreta: A Comparative Study
Placenta accreta rates are rising alongside the rising rates of caesarean deliveries. This has lead to a vast number of studies negotiating the histopathological nature, risk factors and outcomes of pregnancies complicated with…
- Trial name
- NCT06861972
- Testing
- Caesarean Hysterectomy, Conservative management
- Where
- Egypt
- Volunteers
- 36 people
- Sponsor
- Cairo University
To Publish Our Experience in the Surgical Management to Placenta Accreta Cases and the Maternal Outcome
Surgical Management of Placenta Accreta
purpose of this study was to report our experience for surgical management of suspected placenta accreta cases encountered in King Hussein medical center
- Trial name
- NCT03668795
- Testing
- Bakrey balloon insertion within the uterus and caesarean hysterectomy
- Volunteers
- 40 people
- Sponsor
- Royal Medical Services, Jordanian Armed Forces
Placenta Accreta
Tamponade vs Partial Myometrial Resection of Lower Uterine Segment in Management of Placenta Accreta Spectrum Cases
To compare the efficacy of lower uterine tamponade and partial lower myometrial resection in the management of intraoperative bleeding in cases with placenta accreta spectrum .
- Trial name
- NCT06575023
- Testing
- Tamponade of lower uterine segment in management of placenta accreta spectrum cases, partial myometrial resection of lower uterine segment in management of placenta accreta spectrum cases
- Volunteers
- 222 people
- Sponsor
- Assiut University