Conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique With or Without Hayman Sutures

ConditionPlacenta Accreta Spectrum

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexFemale

Age18-40

SponsorCairo University

About this trial

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

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18-40 years

Antenatal PAS diagnosis confirmed by TAS/TVS/Doppler

Eligible for conservative Kasr Al-Ainy surgery

Singleton pregnancy

Disqualifiers

Multiple pregnancy

Uterine fibroids

Previous cesarean myomectomy

Cervical accreta

Trial design

Design model

Parallel

Treatments tested in this trial

Kasr Al-Ainy Technique Alone
Procedure/Surgery
1. Vascular Ligation: Bilateral uterine artery tying at high and low levels. 2. Compression Sutures: Anterior and posterior cervicovaginal stitches for hemostasis. 3. Segmental Resection: Excision of invaded myometrium and placental tissue. 4. Dual-Layer Repair: Myometrial approximation followed by reinforcing imbricating sutures. 5. Final Hemostasis: Confirmation of bleeding control prior to abdominal closure.
Kasr Al-Ainy Technique + Hayman Sutures
Procedure/Surgery
1. Vascular Ligation: Bilateral uterine artery tying at high and low levels. 2. Compression Sutures: Anterior and posterior cervicovaginal stitches for hemostasis. 3. Segmental Resection: Excision of invaded myometrium and placental tissue. 4. Dual-Layer Repair: Myometrial approximation followed by reinforcing imbricating sutures. 5. Final Hemostasis: Confirmation of bleeding control prior to abdominal closure. 6. Application of Hayman vertical compression sutures

Treatment groups

48 Participants

are divided into 2 treatment groups

Group A: Kasr Al-Ainy Technique AloneActive comparator 1 intervention

Group B: Kasr Al-Ainy Technique + Hayman SuturesExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

Intra-operative estimated blood loss

Time frame

During operation

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cairo University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: