Combined Uterine Artery Ligation, Segmental Myometrial Resection and Intrauterine Balloon to Control Bleeding from Placenta Previa Accreta during Caesarean Section

Background: Morbidity attached placenta (MAP) remain a major surgical problem for obstetricians due to severe hemorrhage and its incidence had been continually increased due to increased rate of cesarean deliveries. Aim of the work: To evaluate the safety and efficacy of a conservative intervention...

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Autores principales:	Asmaa Mohamed, Rashed Mohamed Rashed, Mohammed Nasr, Alaa Eldin Megahed
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	placenta caesarean accreta previa hemorrhage Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e8463d4b4a65492bb4516fcc8e7f2d09
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spelling	oai:doaj.org-article:e8463d4b4a65492bb4516fcc8e7f2d092021-12-02T13:52:45ZCombined Uterine Artery Ligation, Segmental Myometrial Resection and Intrauterine Balloon to Control Bleeding from Placenta Previa Accreta during Caesarean Section2636-41742682-378010.21608/ijma.2020.21455.1066https://doaj.org/article/e8463d4b4a65492bb4516fcc8e7f2d092020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_111018_7742eaf3ef2a381e2df209629b6e5f16.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Morbidity attached placenta (MAP) remain a major surgical problem for obstetricians due to severe hemorrhage and its incidence had been continually increased due to increased rate of cesarean deliveries. Aim of the work: To evaluate the safety and efficacy of a conservative intervention for management of placenta accreta.Patients and methods: Forty-eight, pregnant females with a confirmed diagnosis of placenta previa accreta had been scheduled for elective cesarean delivery had been included. All females had been screened by full history taking, clinical examination, ultrasound and lab investigations. Blood loss, operative time, need for transfusion and need for other surgical interventions represented the main outcome and other complications were documented.RESULTS: The blood loss (ml) ranged between 850 to 1300 ml; the mean values were 1082.29±105.89 ml. The operative time ranged between 60 to 130 minutes; the mean values were 87.92±19.35 minutes. There was significant decrease of post-partum hemoglobin when compared to corresponding pre-partum values (9.29±0.76 vs 10.71±0.54 mg/dl respectively). Four patients [8.3%] need ICU admission, and nine patients [18.75%] need blood transfusion. However, no patients need further surgical intervention or developed DIC. In addition, no mortality had been reported in the current work. Conclusion: Combined uterine artery ligation, partial segmental myometrial resection and intrauterine balloon as a conservative treatment modality or placenta previa accreta is safe and effectiveAsmaa MohamedRashed Mohamed RashedMohammed NasrAlaa Eldin MegahedAl-Azhar University, Faculty of Medicine (Damietta)articleplacentacaesareanaccretapreviahemorrhageMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 880-885 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	placenta caesarean accreta previa hemorrhage Medicine (General) R5-920
spellingShingle	placenta caesarean accreta previa hemorrhage Medicine (General) R5-920 Asmaa Mohamed Rashed Mohamed Rashed Mohammed Nasr Alaa Eldin Megahed Combined Uterine Artery Ligation, Segmental Myometrial Resection and Intrauterine Balloon to Control Bleeding from Placenta Previa Accreta during Caesarean Section
description	Background: Morbidity attached placenta (MAP) remain a major surgical problem for obstetricians due to severe hemorrhage and its incidence had been continually increased due to increased rate of cesarean deliveries. Aim of the work: To evaluate the safety and efficacy of a conservative intervention for management of placenta accreta.Patients and methods: Forty-eight, pregnant females with a confirmed diagnosis of placenta previa accreta had been scheduled for elective cesarean delivery had been included. All females had been screened by full history taking, clinical examination, ultrasound and lab investigations. Blood loss, operative time, need for transfusion and need for other surgical interventions represented the main outcome and other complications were documented.RESULTS: The blood loss (ml) ranged between 850 to 1300 ml; the mean values were 1082.29±105.89 ml. The operative time ranged between 60 to 130 minutes; the mean values were 87.92±19.35 minutes. There was significant decrease of post-partum hemoglobin when compared to corresponding pre-partum values (9.29±0.76 vs 10.71±0.54 mg/dl respectively). Four patients [8.3%] need ICU admission, and nine patients [18.75%] need blood transfusion. However, no patients need further surgical intervention or developed DIC. In addition, no mortality had been reported in the current work. Conclusion: Combined uterine artery ligation, partial segmental myometrial resection and intrauterine balloon as a conservative treatment modality or placenta previa accreta is safe and effective
format	article
author	Asmaa Mohamed Rashed Mohamed Rashed Mohammed Nasr Alaa Eldin Megahed
author_facet	Asmaa Mohamed Rashed Mohamed Rashed Mohammed Nasr Alaa Eldin Megahed
author_sort	Asmaa Mohamed
title	Combined Uterine Artery Ligation, Segmental Myometrial Resection and Intrauterine Balloon to Control Bleeding from Placenta Previa Accreta during Caesarean Section
title_short	Combined Uterine Artery Ligation, Segmental Myometrial Resection and Intrauterine Balloon to Control Bleeding from Placenta Previa Accreta during Caesarean Section
title_full	Combined Uterine Artery Ligation, Segmental Myometrial Resection and Intrauterine Balloon to Control Bleeding from Placenta Previa Accreta during Caesarean Section
title_fullStr	Combined Uterine Artery Ligation, Segmental Myometrial Resection and Intrauterine Balloon to Control Bleeding from Placenta Previa Accreta during Caesarean Section
title_full_unstemmed	Combined Uterine Artery Ligation, Segmental Myometrial Resection and Intrauterine Balloon to Control Bleeding from Placenta Previa Accreta during Caesarean Section
title_sort	combined uterine artery ligation, segmental myometrial resection and intrauterine balloon to control bleeding from placenta previa accreta during caesarean section
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/e8463d4b4a65492bb4516fcc8e7f2d09
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Combined Uterine Artery Ligation, Segmental Myometrial Resection and Intrauterine Balloon to Control Bleeding from Placenta Previa Accreta during Caesarean Section

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