Beni-Suef University Hospital Simplified Conservative Approach for Managing Placenta Accreta Spectrum: Randomized Controlled Trial

What this Trial Is About

Researchers are evaluating two surgical techniques to manage morbidly adherent placenta, a serious pregnancy condition where the placenta attaches too deeply to the uterus. The study aims to compare the effectiveness of modified uterine artery ligation and myometrial compression as conservative treatments to improve patient outcomes while preserving fertility. This approach follows guidelines recommending avoidance of hysterectomy, which can have negative effects on pelvic and physical functions. The study involves two groups of patients with placenta accreta. One group will receive bilateral uterine artery ligations using the O-lreay technique combined with standard conservative methods. The other group will undergo a modified O-lreay technique that includes uterine ligation with compression of the lower uterine segment after placental separation. Both procedures involve careful stitching and avoiding injury to surrounding organs. Participants will be monitored for blood loss six hours after surgery, along with maternal morbidity and mortality within 24 hours postoperatively. The study includes assessments of clinical stability, vaginal bleeding, and fetal condition before enrollment. The total participation period spans from surgery through early postoperative monitoring, with all data collected to evaluate the safety and effectiveness of these conservative surgical measures.

Simplified Conservative Measures in Managing Morbidly Adherent Placenta in Beni-Suef University