Minimizing Surgical Blood Loss at Cesarean Hysterectomy for Placenta Previa With Evidence of Placenta Increta or Placenta Percreta: The State of Play in 2020
نویسندگان
چکیده
(Am J Obstet Gynecol. 2020;223:322–329) Placenta accreta spectrum (PAS) is associated with notable surgical risks, especially in cases of placenta previa-percreta. Surgical blood loss the key cause morbidity or mortality surgery for PAS. Multidisciplinary management PAS has developed and improved, leading clinicians to reexamine use interventional radiology techniques ligation anterior divisions internal iliac arteries. This article reports on developments care patients PAS, specifically those undergoing elective cesarean hysterectomy
منابع مشابه
Placenta percreta managed by transverse uterine fundal incision with retrograde cesarean hysterectomy: a novel surgical approach
KEY CLINICAL MESSAGE Placenta percreta (with bladder invasion) is a rare obstetric condition with the risk of massive intraoperative hemorrhage. In these cases, the combination of a transverse uterine fundal incision and retrograde cesarean hysterectomy could be useful to minimize maternal hemorrhage and avoid severe bladder injury.
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Fifty years ago, placenta accreta was an obstetric rarity. Today, however, placenta accreta and its variations represent one of the principal causes of maternal morbidity and mortality. That this is the case is often attributed to the increased number of cesarean deliveries, but close examination of the numbers involved suggests that other factors may also be in operation. The potential for the...
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متن کاملIndividual decisions in placenta increta and percreta: a case series.
OBJECTIVE Placenta increta or percreta is an uncommon pathology, sometimes associated with high maternal morbidity. Its prevalence increases proportionally to the number of cesarean sections. This study analyzed the changes of our management strategy to devise treatment guidelines for this uncommon disorder. MATERIALS AND METHODOLOGY Between 2005 and 2011, 10 cases of placenta increta or perc...
متن کاملPlacenta previa
OBJECTIVES To review cases of placenta previa in the last 13 years in a tertiary teaching hospital to identify risk factors for maternal morbidity. METHODS A retrospective analysis of all cases of placenta previa managed at King Abdulaziz University Hospital (KAUH), Jeddah, Kingdom of Saudi Arabia from January 2001 to December 2013. RESULTS The total number of deliveries was 55,862 deli...
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ژورنال
عنوان ژورنال: Obstetric Anesthesia Digest
سال: 2021
ISSN: ['0275-665X', '1536-5395']
DOI: https://doi.org/10.1097/01.aoa.0000744104.23225.05