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Bladder Suture in Uterus-Sparing Surgery and Hysterectomy for Placenta Percreta

NCT06267599 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 81

Last updated 2024-02-20

No results posted yet for this study

Summary

This study aimed to evaluate the short-term and long-term complications of placenta percreta with bladder invasion. This evaluation focuses on cases where bladder dissection and ACAR-style bladder sutures were applied in cases of placenta percreta with bladder invasion that underwent uterine-sparing surgery or hysterectomy.

Conditions

  • Placenta Percreta
  • Bladder Injury
  • Sutures

Interventions

PROCEDURE

ACAR-Style Bladder Suture

In cases where dissection is not possible, the upper border of the bladder is opened transversely with a cutter, and the ureteral catheters and trigone inside the bladder are observed. The bladder invasion border is re-evaluated intravesically. The uterine arteries are held bilaterally with a sensitive clamp that does not crush the uterine arteries. Then, the uterus is incised from the upper border of the bladder without damaging the bladder and the predetermined myometrial invasion area is resected. After the placenta is removed, the cervical canal is found and marked with a number one vicryl suture. In these patients, the placental material is removed in pieces in the cervix area where the bladder is invaded. After the removal of the placenta, the cervix in the lower segment of the uterus is orientated and sutured together with the bladder, and this area is closed.

Sponsors & Collaborators

  • Necmettin Erbakan University

    lead OTHER

Principal Investigators

  • Ali Acar · MD

  • Şükran Doğru · MD

  • Fatih Akkuş · MD

  • Cemre Alan · MD

  • Fikriye Karanfil Yaman · MD

  • Huriye Ezveci · MD

  • Orhan Ay · MD

  • Fethiye Şahin · MD

  • Burçin Elaziz · MD

  • Meryem Gümüş · MD

Eligibility

Min Age
18 Years
Max Age
50 Years
Sex
FEMALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2023-09-01
Primary Completion
2023-12-01
Completion
2024-01-01

Countries

  • Turkey (Türkiye)

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT06267599 on ClinicalTrials.gov