[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100551880":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":24,"centralContacts":29,"locations":39,"responsibleParty":51,"collaborators":24,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":24,"eligibilityCriteria":61,"healthyVolunteers":57,"sex":62,"minAge":63,"maxAge":64,"enrollmentInfo":65,"targetDuration":24,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":24,"overallStatus":41,"whyStopped":24,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":78,"completionDateStruct":80,"leadSponsor":82,"locationsCount":83},{"fullName":5,"class":6},"Beni-Suef University","OTHER",[8,13],{"label":9,"type":6,"description":10,"interventionNames":11},"O- lreay technique group","Group A: In which 86 patients will have bilateral uterine artery ligations as described by O- lreay technique in addition to standard conservative methods. Briefly, two large vicryl stitches were passed using a large-sized needle below and lateral to the lower edge of the uterine incision angle in an anteroposterior direction and then redirected from back to the front through the avascular window in the posterior leaf of the broad ligament just lateral to the uterine border taking care to avoid injury to bowel posteriorly or bladder\u002Fureter anteriorly. The stitches were tied securely anteriorly",[12],"Procedure: O, lreay suture",{"label":14,"type":6,"description":15,"interventionNames":16},"Modified O- lreay technique group","Group B: which will include 86 patients we will do our simplified approach which includes;\n\n* After placental separation; try to grasp the lower segment or cervical flap.\n* Close uterine cavity by continuous vicryl no 1 suture.\n* Do 3 to 4 mattress sutures as the second layer of the uterus.\n* Do uterine ligation with compression of the lower uterine segment (Modification of O, lreay suture) as demonstrated below:\n\n  1. Pack Douglas- pouch with a towel.\n  2. Straight the used vicryl needle mostly no 1.\n  3. Try to compress and approximate anterior and posterior uterine walls.\n  4. Start from anterior to posterior 3- 4 cm medial to lateral uterine margin and then pass from posterior to anterior through avascular area in the broad ligament.",[17],"Procedure: modified O, lreay suture",[19,25],{"type":20,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"PROCEDURE","O, lreay suture","bilateral uterine artery ligations as described by O- lreay technique in addition to standard conservative methods. Briefly two large vicryl stitches were passed using a large sized needle below and lateral to the lower edge of the uterine incision angle in anteroposterior direction and then redirected from back to the front through avascular window in the posterior leaf of the broad ligament just lateral to the uterine border taking care to avoid injury to bowel posteriorly or bladder\u002Fureter anteriorly. The stitches were tied securely anteriorly",[9],null,{"type":20,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"modified O, lreay suture","1. Pack Douglas- pouch with a towel.\n2. Straight the used vicryl needle mostly no 1.\n3. Try to compress and approximate anterior and posterior uterine walls.\n4. Start from anterior to posterior 3- 4 cm medial to lateral uterine margin and then pass from posterior to anterior through avascular area in the broad ligament. And we repeat the procedure on the other side. We can repeat this method of uterine ligation at another different plane if needed.",[14],[30,35],{"name":31,"role":32,"phone":33,"phoneExt":24,"email":34},"Hamada Ali, A. professor","CONTACT","0201007240754","hamadaashry@yahoo.com",{"name":36,"role":32,"phone":37,"phoneExt":24,"email":38},"nesreen shehata, professor","0201024150605","nesoomar@yahoo.com",[40],{"facility":5,"status":41,"city":42,"state":24,"zip":24,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":24},"RECRUITING","Cairo","Egypt","EG",{"type":46,"coordinates":47},"Point",[48,49],31.24967,30.06263,{"lat":49,"lon":48},{"type":52,"investigatorFullName":53,"investigatorTitle":54,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"SPONSOR_INVESTIGATOR","Nesreen Abdel Fattah Abdullah Shehata","Professor","100551880","simplified-conservative-measures-in-managing-morbidly-adherent-placenta-in-beni-suef-university-100551880",false,"NCT06465836","Simplified Conservative Measures in Managing Morbidly Adherent Placenta in Beni-Suef University","Beni-Suef University Hospital Simplified Conservative Approach for Managing Placenta Accreta Spectrum: RCT","Inclusion Criteria:\n\n* Gestational age more than 28 weeks as determined by LMP and ultrasound.\n* Placenta previa as confirmed by ultrasound.\n* Clinically stable with no or mild vaginal bleeding.\n* No evidence of fetal compromise.\n* Patient consent.\n\nExclusion Criteria:\n\n* Vaginal bleeding\n* Medical disorders","FEMALE","25 Years","45 Years",{"count":66,"type":67},172,"ESTIMATED","INTERVENTIONAL",[70],"NA","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.",[73],"Placenta Accreta","2024-06-13",{"date":76,"type":77},"2024-06-20","ACTUAL",{"date":79,"type":77},"2024-03-15",{"date":81,"type":67},"2025-06-30",{"name":53,"class":6},1]