منابع مشابه
Management of placenta accreta.
Cesarean hysterectomy is considered the reference standard treatment for placenta accreta. In young women who want the option of future pregnancy and agree to close follow-up monitoring, conservative treatment is a valid option. Several key points of both cesarean hysterectomy and conservative treatment remain debatable, such as timing of delivery, attempted removal of the placenta, use of temp...
متن کاملConservative management of placenta praevia with accreta.
It has been advocated that placenta accreta/percreta should be managed conservatively to avoid massive pelvic bleeding and preserve fertility. Diagnosis of this condition with high-resolution imaging investigations performed during the antenatal period facilitates discussion of management plans with other clinical disciplines (eg interventional radiologists), the patient, and her family. Three ...
متن کاملMifepristone and Misoprostol for the management of placenta accreta - a new alternative approach.
The incidence of morbidly adherent placentas has increased ten-fold in the past 50 years, currently occurring at a frequency of 1 per 1000–2500 deliveries1,2. It is contributing to a large proportion of postpartum hemorrhages (PPH) and has led to some maternal mortalities and several surgical interventions. Current management of morbidly adherent placentas – accreta, increta and especially perc...
متن کاملThe Management of Placenta Accreta at Queen’s Hospital, Romford, UK
Placenta accreta, increta and percreta are all forms of morbidly adherent placenta (MAP) with abnormally invasive placentation. Histologically defined by trophoblastic invasion of the myometrium in the absence of intervening decidua, superficial myometrial invasion is classed as accreta, deeper myometrial invasion as increta, and invasion through the serosa or into adjacent pelvic organs as per...
متن کاملSurgical Management of Placenta Accreta — Does Staged Procedure Help?
Objectives: To determine whether staged procedure involving classical Caesarean section without removing the placenta followed by arterial embolisation before hysterectomy had any clinical value in the surgical management of placenta accreta. Methods: This retrospective case-controlled study was conducted in a tertiary obstetric unit in Hong Kong. All hysterectomy cases with confirmed histologi...
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ژورنال
عنوان ژورنال: Gynecological Surgery
سال: 2005
ISSN: 1613-2076,1613-2084
DOI: 10.1007/s10397-005-0154-0