New surgical method aims to curb bleeding and save uteruses in dangerous placenta condition

NCT ID NCT07706062

First seen Jul 15, 2026 · Last updated Jul 28, 2026 · Updated 3 times

Summary

This study looks at a surgical technique called total lower segmentectomy with cervico-corporeal anastomosis (TLS-CCA) combined with mechanical towel compression for women with placenta accreta spectrum (PAS). The goal is to see if this approach can reduce blood loss during delivery and help preserve the uterus. The study includes 30 pregnant women aged 18-45 with a single baby and a prenatal diagnosis of PAS who are planning a scheduled cesarean. Researchers will measure blood loss and blood transfusion needs to assess safety and effectiveness.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
a surgical procedure called total lower segmentectomy with cervico-corporeal anastomosis (TLS-CCA) plus mechanical towel compression
What this could lead to
If successful, this technique could offer a safer way to manage placenta accreta, reducing the need for emergency hysterectomy and preserving fertility.
What could go wrong
This is a small, early case series with only 30 participants, so results may not apply to all patients. The procedure is complex and carries risks like heavy bleeding or organ injury.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

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