Total Lower Uterine Segmentectomy With Adjunctive Mechanical Towel Compression for the Surgical Management of Placenta Accreta Spectrum Disorders

Starting soon

Conditions studied: Placenta Accreta Management

In brief

The goal of this observational study is to evaluate the feasibility and safety of utilizing adjunctive mechanical towel compression during TLS-CCA, measured primarily by estimated intraoperative blood loss in patient with Maternal age 18-45 years - Singleton pregnancy - Antenatal diagnosis of PAS (ultrasound ± MRI) - Planned elective cesarean delivery - Candidate for uterine preservation via TLS-CCA - Provided written informed consent

Key facts

Study ID

NCT07706062

Run by

Assiut University

People needed

30

Starts

2026-09-01

Expected to finish

2027-12-01

Last updated by the study team

2026-07-27

Who can join

Age: 18 and older, up to 45. Sex: female. Healthy volunteers: not accepted.

You may qualify if…

• Maternal age 18-45 years
• Singleton pregnancy
• Antenatal diagnosis of PAS (ultrasound ± MRI)
• Planned elective cesarean delivery
• Candidate for uterine preservation via TLS-CCA
• Provided written informed consent

You may not qualify if…

• Hemodynamic instability necessitating emergency hysterectomy
• Placental invasion into adjacent pelvic organs requiring exenteration
• Pre-existing severe coagulation disorders
• Multiple gestation or major fetal anomalies
• Patient refusal to participate

Full record on ClinicalTrials.gov

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