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CompletedNCT03824873Updated Jul 8, 2020

Internal Iliac Artery Ligation Before Cesarean Hysterectomy in Morbidly Adherent Placenta

A Phase 3 interventional study of Internal iliac artery ligation and cesarean hysterectomy in Blood Loss, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to female participants aged 25 Years to 40 Years. Per ClinicalTrials.gov, last updated 2020-07-08.

Sponsored by Ain Shams University · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 10 months after the study started (first participant enrolled Mar 2017, registered Jan 2019).
Phase
Phase 3
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
25 Years to 40 Years
Sex
Female
01

Study summary

40 pregnant females at term diagnosed with morbidly adherent placenta and planned for elective cesarean section were recruited and randomized to 2 groups. Group A: Internal iliac ligation followed by cesarean hysterectomy. Group B: cesarean hysterectomy.

02

Conditions studied

  • Blood Loss

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Keywords

  • Internal iliac artery
  • Internal iliac artery ligation
  • Placenta previa
  • Placenta accreta
  • cesarean hysterectomy
03

In context

Placenta Accreta

147 studies on the registry are indexed under Placenta Accreta; 39 are open to participants now.

This study's enrollment of 40 is below the median of 62 across 63 interventional studies indexed under Placenta Accreta.

Browse Placenta Accreta studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,876 studies on the registry; 423 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
25 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Placenta previa accreta
  • Previous 2 cesarean section
  • completed her family
  • Hemoglobin > 11 gm/dl
  • Elective cesarean hysterectomy

Exclusion criteria

Exclusion Criteria:

  • Anemia ( Hemoglobin \< 11 gm/dl)
  • Not completed her family
  • BMI > 35 Kg/m2
  • Bleeding tendency
  • Emergengy cesarean section
  • Thrombophilia
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    internal iliac artery ligation + cesarean hysterectomy

    Procedure: Internal iliac artery ligation · Procedure: cesarean hysterectomy

  • Active comparator
    cesarean hysterectomy

    Procedure: cesarean hysterectomy

Interventions

  • ProcedureInternal iliac artery ligation

    Internal iliac artery ligation and cesarean hysterectomy

    Also known as: cesarean hysterectomy

  • Procedurecesarean hysterectomy

    cesarean hysterectomy

06

What researchers measure

Primary outcomes

  1. Amount of blood loss

    Time frame: intraoperative

  2. Amount of Blood transfusion needed in mililiters

    Time frame: 24 hours

Secondary outcomes

  1. change of hemoglobin

    Time frame: 24 hours

  2. change of hematocrit

    Time frame: 24 hours

  3. operative time

    Time frame: intraoperative

  4. incidence of injury of important structures during operation

    incidence of injury of important structures during operation as urinary bladder, ureteric, intestinal or great vessels injury

    Time frame: intraoperative

07

Study locations

1 site
  • Ain Shams University Maternity Hospital
    Cairo, Egypt
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 8, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03824873
Lead sponsor
Ain Shams University
Responsible party
Mohamed S Sweed, MD (Principal Investigator, Ain Shams University) — Principal investigator
First posted
Jan 31, 2019
Start date
Mar 1, 2017
Primary completion
Jan 1, 2020
Completion
Jul 2, 2020
Last update
Jul 8, 2020

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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