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Not yet recruiting NCT07519993

Conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique With or Without Hayman Sutures

No phase Interventional Placenta Accreta Spectrum

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Kasr Al-Ainy Technique Alone, Kasr Al-Ainy Technique + Hayman Sutures.
Who it may be relevant to
Registry conditions: Placenta Accreta Spectrum. Basic parameters: 18 years — 40 years · Female.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Overview

This study evaluates whether adding Hayman sutures in the conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique reduces intraoperative blood loss and improves outcomes

Interventions

  • Procedure Kasr Al-Ainy Technique Alone
    1. Vascular Ligation: Bilateral uterine artery tying at high and low levels. 2. Compression Sutures: Anterior and posterior cervicovaginal stitches for hemostasis. 3. Segmental Resection: Excision of invaded myometrium and placental tissue. 4. Dual-Layer Repair: Myometrial approximation followed by reinforcing imbricating sutures. 5. Final Hemostasis: Confirmation of bleeding control prior to abdominal closure.
  • Procedure Kasr Al-Ainy Technique + Hayman Sutures
    1. Vascular Ligation: Bilateral uterine artery tying at high and low levels. 2. Compression Sutures: Anterior and posterior cervicovaginal stitches for hemostasis. 3. Segmental Resection: Excision of invaded myometrium and placental tissue. 4. Dual-Layer Repair: Myometrial approximation followed by reinforcing imbricating sutures. 5. Final Hemostasis: Confirmation of bleeding control prior to abdominal closure. 6. Application of Hayman vertical compression sutures

Primary outcome measures

  • Intra-operative estimated blood loss [Time frame: During operation]

Eligibility criteria

Inclusion criteria

  • Age 18-40 years
  • Antenatal PAS diagnosis confirmed by TAS/TVS/Doppler
  • Eligible for conservative Kasr Al-Ainy surgery
  • Singleton pregnancy
  • Written informed consent

Exclusion criteria

  • Multiple pregnancy
  • Uterine fibroids
  • Previous cesarean myomectomy
  • Cervical accreta
  • Extensive parametrial or bladder invasion requiring hysterectomy
  • Known coagulopathy or uncorrected bleeding disorder.
  • Severe medical comorbidities rendering the patient unfit for major surgery under general anesthesia (e.g., severe cardiac or pulmonary disease)
  • Medical disorders as HTN and DM
  • Patient refusal

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Double blind
Primary purpose
Treatment

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT07519993 · MS-636-2025

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗