Ignite Creation Date:
2024-05-06 @ 7:28 PM
Last Modification Date:
2024-10-26 @ 3:07 PM
Study NCT ID:
NCT06023381
Status:
COMPLETED
Last Update Posted:
2023-09-05
First Post:
2023-08-29
Brief Title:
Sliding Sign in Late Trimester Ultrasound Evaluation of Intra-abdominal Adhesions in Women Undergoing Repeat CS
Sponsor:
Ain Shams Maternity Hospital
Organization:
Ain Shams Maternity Hospital
Study Overview
Official Title:
Sliding Sign in Third-trimester Ultrasound Evaluation of Intra-abdominal Adhesions in Women Undergoing Repeat Cesarean Section
Status:
COMPLETED
Status Verified Date:
2023-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Predicting the presence of severe adhesions may also assist clinically in several ways first it allows allocation of more complicated surgeries to experienced surgeons second the surgeons can plan and prepare better for the surgery if they know in advance whether they are going to operate a complicated surgery third a difficult surgery may be scheduled to be performed in an experienced center preparing cross match blood units and alerting the general surgeon and urologist of the potential risk for surgical complications saving time if intervention is required
This information can permit preoperative planning by a multidisciplinary team of surgeons and allow the patient to be informed of the potentially high risk of complications
This information can permit preoperative planning by a multidisciplinary team of surgeons and allow the patient to be informed of the potentially high risk of complications
Detailed Description:
The incidence of repeat cesarean delivery is on the rise worldwide approximately 90 of women with a prior cesarean delivery undergo a planned repeat cesarean delivery in their next pregnancy
Post-cesarean adhesions are a major complication in subsequent surgeries causing an increased risk for bladder and bowel injury 01-03 hemorrhage 01-14 infection 04-16 and even hysterectomy 01-14
In addition to the risk associated with the pelviabdominal surgical procedure itself adhesiolysis may result in injury to adjacent viscera blood loss and in case of emergency cesarean delivery to the perinatal adverse outcome associated with delayed delivery of the neonate This represents a considerable healthcare issue as it has a significant impact both on the patient increasing morbidity and mortality and on healthcare costs It is therefore important for surgeons to detect patients at high risk of having adhesions
Women suspected to have severe intra-abdominal adhesions may benefit from appropriate preparation of blood products better assignment of surgeons request for preoperative surgical assistance of other medical specialties and possibly performance of a midline skin incision to enter the peritoneal cavity It is therefore important for surgeons to detect patients at high risk of having adhesions
Various means have been proposed to predict adhesions prior to surgery including analysis of patient characteristics and appearance of the scar as well as the intraoperative peritoneal adhesion index
Post-cesarean adhesions are a major complication in subsequent surgeries causing an increased risk for bladder and bowel injury 01-03 hemorrhage 01-14 infection 04-16 and even hysterectomy 01-14
In addition to the risk associated with the pelviabdominal surgical procedure itself adhesiolysis may result in injury to adjacent viscera blood loss and in case of emergency cesarean delivery to the perinatal adverse outcome associated with delayed delivery of the neonate This represents a considerable healthcare issue as it has a significant impact both on the patient increasing morbidity and mortality and on healthcare costs It is therefore important for surgeons to detect patients at high risk of having adhesions
Women suspected to have severe intra-abdominal adhesions may benefit from appropriate preparation of blood products better assignment of surgeons request for preoperative surgical assistance of other medical specialties and possibly performance of a midline skin incision to enter the peritoneal cavity It is therefore important for surgeons to detect patients at high risk of having adhesions
Various means have been proposed to predict adhesions prior to surgery including analysis of patient characteristics and appearance of the scar as well as the intraoperative peritoneal adhesion index
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None