CompletedNot Applicable

A.Chohan Continuous Squeezing Suture (ACCSS) for Placenta Previa / Accreta

Pakistan30 participantsStarted 2019-02-12

Plain-language summary

Placenta praevia and accreta spectrum disorders are rising in incidence due to increased rate of repeat caesarean sections. Peripartum hysterectomy remains the only definitive treatment of massive postpartum haemorrhage related to this condition. A multitude of conservative treatments is described in literature, which includes pelvic devascularization under radiological control, myometrial resection with placenta in situ, and various suturing techniques some involving inversion of cervix. Variable success rates are described, but search continues for a simple, safe and effective treatment. Such a surgical technique i.e. A. Chohan Continuous Squeezing Suture (ACCSS) is described in this study for controlling haemorrhage from the lower uterine segment at caesarean section for placenta praevia and accrete spectrum disorders.

Who can participate

Age range18 Years – 35 Years

SexFEMALE

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Inclusion criteria

✓. All consenting patients at 32 weeks of gestation, with the diagnosis of placenta previa and placenta accreta spectrum without involvement of bladder and other pelvic organs.
✓. Woman who wished to conserve the uterus.

Exclusion criteria

✕. Patients were excluded from the study if an emergency cesarean section was done due to severe antepartum hemorrhage before the plan of surgery.
✕. Patients with Placenta accreta spectrum with bladder and/or other pelvic organ involvement.

What they're measuring

Peripartum hysterectomy

Timeframe: 24 hours

Trial details

NCT IDNCT04660578

SponsorKing Edward Medical University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2020-08-31

View on ClinicalTrials.gov More Placenta Previa With Hemorrhage - Delivered trials