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Not yet recruitingNCT07519993Updated Apr 9, 2026

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

An interventional study of Kasr Al-Ainy Technique Alone and Kasr Al-Ainy Technique + Hayman Sutures in Placenta Accreta Spectrum, sponsored by Cairo University. Not yet recruiting. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-04-09.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
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Study summary

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

02

Conditions studied

  • Placenta Accreta Spectrum

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03

In context

Placenta Accreta

150 studies on the registry are indexed under Placenta Accreta; 40 are open to participants now.

This study's planned enrollment of 48 is below the median of 70 across 67 interventional studies indexed under Placenta Accreta.

Browse Placenta Accreta studies →

Lead sponsor

Cairo University is the lead sponsor of 4,941 studies on the registry; 1,458 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

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

Exclusion criteria

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
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
48 participants (estimated)

Study arms

  • Active comparator
    Kasr Al-Ainy Technique Alone

    Procedure: Kasr Al-Ainy Technique Alone

  • Experimental
    Kasr Al-Ainy Technique + Hayman Sutures

    Procedure: Kasr Al-Ainy Technique + Hayman Sutures

Interventions

  • ProcedureKasr 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.

  • ProcedureKasr 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

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What researchers measure

Primary outcomes

  1. Intra-operative estimated blood loss

    Time frame: During operation

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Study locations

No study locations are listed for this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07519993
Lead sponsor
Cairo University
Responsible party
Abdalla Mousa (Lecturer of Obstetrics and Gynecology, Cairo University) — Principal investigator
First posted
Apr 9, 2026
Start date
Apr 5, 2026 (estimated)
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Apr 9, 2026

Study contacts

Abdallah Mousa, M.D.
Contact
Dr_abdallamousa@yahoo.com
+20 1277664430
Asmaa Ali
Contact
asmaaaalibadawi33@gmail.com
+20 1222338010
Emad Salah, M.D.
principal investigator · Cairo University
Mona Sedik, M.D.
principal investigator · Cairo University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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