Vasopressin vs. Uterine Artery Clamping for Laparoscopic Cesarean Scar Niche Repair

This study evaluates two methods for controlling intraoperative bleeding during laparoscopic surgery to repair a cesarean scar niche (CSN). It compares the effectiveness of intramyometrial vasopressin injection against bilateral temporary clamping of the uterine arteries using laparoscopic bulldog clips. The goal is to determine if vasopressin injection is non-inferior to arterial clamping in reducing blood loss and maintaining surgical field visibility.

NCT Number	NCT07446933
Lead Sponsor	Zagazig University
Conditions	Cesarean Section Complications
Enrollment	30 participants
Start Date	2024-03-20
Primary Completion	2025-10-17 (estimated)
Study Completion	2026-01-15 (estimated)
Updated on ClinicalTrials.gov	2026-03-03