[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100553256":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":25,"centralContacts":25,"locations":25,"responsibleParty":30,"collaborators":25,"id":34,"slug":35,"hasResults":36,"nctId":37,"briefTitle":38,"officialTitle":39,"acronym":25,"eligibilityCriteria":40,"healthyVolunteers":36,"sex":41,"minAge":42,"maxAge":43,"enrollmentInfo":44,"targetDuration":25,"studyType":47,"phases":48,"briefSummary":50,"conditions":51,"keywords":25,"overallStatus":53,"whyStopped":25,"lastUpdateSubmitDate":54,"lastUpdatePostDateStruct":55,"startDateStruct":58,"completionDateStruct":60,"leadSponsor":62,"locationsCount":25},{"fullName":5,"class":6},"Minia University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Group 1 (n = 41) cervical tourniquet","EXPERIMENTAL","in group 1 the investigators using a sterile Foley catheter (Ch 16\u002F18 French) down to the lowest point and secures it \"en bloc\" around the cervix at the level of the uterosacral ligaments, approximately 3-4 cm below the incision. Then, tighten and fix .",[13],"Procedure: cervical tourniquet",{"label":15,"type":10,"description":16,"interventionNames":17},"Group 2 (n=41) uterine artery ligation","in group 2the investigators ligated the uterine vessels in a continuous manner at the level of the utero-vesical fold on each side.",[18],"Procedure: uterine artery ligation",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","cervical tourniquet","After opening the abdominal wall, To reduce bleeding during PAS, make the uterine incision above the placenta's intrauterine borders .\n\n2-investigators extract the uterus from the abdomen 3-An assistant slides a sterile Foley catheter (Ch 16\u002F18 French) down to the lowest point and secures it \"en bloc\" around the cervix 4-The bladder peritoneum is isolated from the uterus 5-To remove myometrial tissue, leave a margin of at least 2 cm superior to the cervical internal ostium using electrocautery or scissors .",[9],null,{"type":21,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"uterine artery ligation","After opening the abdominal wall, To reduce bleeding during PAS, make the uterine incision above the placenta's intrauterine borders .\n\n2-investigators extract the uterus from the abdomen 3-The bladder peritoneum is isolated from the uterus 4-The uterine vessels were ligated in continuity at the level of the utero-vesical fold on each side 5-To remove myometrial tissue, leave a margin of at least 2 cm superior to the cervical internal ostium using electrocautery or scissors .",[15],{"type":31,"investigatorFullName":32,"investigatorTitle":33,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"PRINCIPAL_INVESTIGATOR","Mohamed Hassan Mohamed Abdel Ghfar","lecturer","100553256","comparison-between-cervical-tourniquet-and-uterine-artery-ligation-prior-to-segmental-resection-approach-100553256",false,"NCT06483724","Comparison Between Cervical Tourniquet and Uterine Artery Ligation Prior to Segmental Resection Approach","Comparison Between Cervical Tourniquet and Uterine Artery Ligation Prior to the Segmental Resection Approach in Patients With Placenta Accreta Spectrum: A Prospective Interventional Study","Inclusion Criteria:\n\n* Diagnosed sonographically to have placenta accreta spectrum .\n* Pregnancy is singleton and fetus is alive.\n* Elective caesarean section done from 36 gestational weeks\n\nExclusion Criteria:\n\n* Patients requesting hysterectomy\n* Coexisting uterine pathology such as fibroids or gynaecological malignancies\n* Patients with bleeding diathesis.\n* Morbid obesity of BMI \\>40.\n* Patients having labour pains or vaginal bleeding before scheduled intervention","FEMALE","18 Years","38 Years",{"count":45,"type":46},82,"ESTIMATED","INTERVENTIONAL",[49],"NA","The study will compare a modified surgical approach for preserving fertility and minimizing hemorrhage in morbidly adherent placenta during cesarean section with a cervical tourniquet against uterine artery ligation.",[52],"Placenta Accreta Spectrum","NOT_YET_RECRUITING","2024-07-02",{"date":56,"type":57},"2024-07-05","ACTUAL",{"date":59,"type":46},"2024-07-01",{"date":61,"type":46},"2025-05-01",{"name":5,"class":6}]