Anaesthetic management of patients with placenta accreta

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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...

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Conservative 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 ...

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Management of patients with placenta accreta in association with fever following vaginal delivery

This study aims to analyze the clinical characteristics and to manage patients with retained placenta left in situ accompanied by fever following vaginal delivery.Twenty-one patients with retained placenta in association with fever following vaginal delivery were enrolled and managed at the maternity department of our university hospital between 2012 and 2014.All patients had risk factors for d...

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Anesthetic management of patients with placenta accreta and resuscitation strategies for associated massive hemorrhage.

PURPOSE OF REVIEW Placenta accreta is one of the leading causes of peripartum hemorrhage. The goal of this article is to review anesthetic management of parturients with placenta accreta and to examine a modern approach to massive peripartum hemorrhage. RECENT FINDINGS The incidence of placenta accreta is rising in parallel with the increased rate of cesarean delivery. If accreta is diagnosed...

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The 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...

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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1987

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03010522