Bladder filling before accreta surgery is a very effective method for preventing bladder injury: a retrospective cohort study

Çelik, Samettin; Celik, Handan; Çalışkan, Canan Soyer; Tosun, Miğraci; Hatırnaz, Şafak

doi:10.1080/14767058.2019.1670809

Cited by 8 publications

(6 citation statements)

References 21 publications

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“…The initial search resulted in 856 articles, of which 758 were excluded, as the reported outcomes were not relevant, leaving 98 studies that were obtained for full‐text review. An additional 36 articles were excluded after full review, leaving 62 articles for the systematic review 18–79 (Figure 1 and Tables 1 and S2). Of these, 56 studies were included in the meta‐analysis 18–24, 26–33,35–44,46–61,63–69,71–77,79 , while six studies were excluded from the pooled analysis due to potential overlap in populations.…”

Section: Resultsmentioning

confidence: 99%

“…An additional 36 articles were excluded after full review, leaving 62 articles for the systematic review 18–79 (Figure 1 and Tables 1 and S2). Of these, 56 studies were included in the meta‐analysis 18–24, 26–33,35–44,46–61,63–69,71–77,79 , while six studies were excluded from the pooled analysis due to potential overlap in populations. Some of the included studies were still at risk of overlap; in these cases, national studies were prioritized for inclusion, unless they did not report on the evaluated outcome.…”

Section: Resultsmentioning

confidence: 99%

“…When considering only studies with ≥ 12 cases per year, the incidence of urological complications was similar to that reported in the primary analysis (Table S3). 18 Erfani (2022) 29 Kuznetsova (2022) 19 Munoz (2022) 20 Overton (2022) 21 Pav ón-Gomez (2022) 22 Scaglione (2022) 23 Sentilhes (2022) 24 Smith (2022) 25 Taskeen (2022) 26 Uddén (2022) 34 Xin (2022) 27 Bakacak (2021) 28 Celik (2021) 40 Crocetto (2021) 41 Matsuzaki (2021) 30 Morlando (2021) 31 Nieto-Calvache (2021) 43 Parveen (2021) 32 Soleymani Majd (2021) 33 van Beekhuizen (2021) 35 Chahal (2020) 36 Dall'Asta (2020) 37 Nisar (2020) 38 Zuckerwise (2020) 45 Alanwar (2019) 52 Dawood (2019) 42 Meller (2019) 47 Sak (2019) 44 Shmakov (2019) 49 Marcellin (2018) 46 Özcan (2018) 48 Pala (2018) 54 Saha (2018) 39 Thabet (2018) 50 Zhao (2018) 51 Chaudhari (2017) 55 Karaman (2017) 56 Lee (2017) 53 Camuzcuoglu (2016) 57 Norris (2016) 59 Thurn (2016) 61 Shabana (2015) 60 Shams...…”

Section: Annual Number Of Surgical Proceduresmentioning

confidence: 99%

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Urological complications in women undergoing Cesarean section for placenta accreta spectrum disorders: systematic review and meta‐analysis

Lucidi

Jauniaux

Hussein

et al. 2023

Ultrasound in Obstet & Gyne

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ObjectiveTo report the occurrence of urologic complications in women undergoing surgery for placenta accreta spectrum (PAS) disorders.MethodsMedline, Embase and Cochrane databases were searched electronically up to 1st of November 2022. Studies reporting cohort on surgical management and outcome of PAS. Two independent reviewers performed the data extraction using a predefined protocol and assessed the risk of bias using the Newcastle‐Ottawa scale for observational studies, with difference agreed by consensus. The primary outcome was the overall occurrence of urologic complications in women undergoing surgery for PAS. Secondary outcomes were overall cystotomy, intentional cystotomy, unintentional cystotomy, ureteral damage, ureteral fistula, vesicovaginal fistula. All these outcomes were explored in the overall population of patients undergoing hysterectomy for PAS disorders. In addition, we performed sub‐group analyses according to the severity of PAS at histopathology (placenta accreta/increta and percreta), type of intervention (planned vs emergency), ureteral stent placing and number of cases per year. Random‐effect meta‐analyses of proportions were used to analyze the data.ResultsSixty‐two studies were included. Urologic complications occurred in 15.29% (95% CI, 13.0‐17.2) of cases. Cystotomy complicated 13.02% (95% CI, 9.2‐17.3) of surgical operations. Intentional cystotomy was required in 5.58% (95% CI, 2.7‐9.3) of cases while damage to the bladder occurred in 7.40% (95% CI, 4.3‐11.2) of cases. Urologic complications occurred in 19.36% (95% CI, 16.3‐22.7) of cases undergoing hysterectomy and 12.22% (95% CI, 7.5‐17.8) of those having conservative treatment. In the sub‐group analyses, urologic complications occurred in 9.42% (95% CI, 5.4‐14.4) of women with placenta accreta‐increta and 38.52% (95% CI, 21.6‐57.0) of those described as placenta percreta and were mainly represented by cystotomy (5.53% (95% CI, 0.6‐15.1) in women with placenta accreta increta and 21.97% (95% CI, 15.4‐45.5) in the placenta percreta subgroup). Urologic complications occurred in 15.44% (95% CI, 8.1‐24.6) during planned procedures and in 24.61% (95% CI, 13.0‐38.5) during emergency intervention. The incidence of urologic complications was similar to that reported in the primary analysis in studies reporting >10 cases per year.ConclusionsPatients undergoing surgery for PAS disorders are at high‐risk of urologic complications, mainly cystotomy. The incidence of these complications is higher in patients described as having a placenta percreta at birth and in case of emergency surgical intervention. The high heterogeneity highlights the need to use standardized protocols for the diagnosis of PAS to identify prenatal imaging signs associated with a risk of urologic morbidity at delivery.This article is protected by copyright. All rights reserved.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Annual Number Of Surgical Proceduresmentioning

confidence: 99%

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Urological complications in women undergoing Cesarean section for placenta accreta spectrum disorders: systematic review and meta‐analysis

Lucidi

Jauniaux

Hussein

et al. 2023

Ultrasound in Obstet & Gyne

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“…There was a bladder injury in 25.93% of patients with placenta previa and 0% of patients without placenta previa [9]. When performing placenta accreta surgery, filling the bladder with 200ml of saline solution before the surgery can reduce the possibility of bladder injury [10]. In retro-fill (cystoinflation), the bladder takes a rounded contour as it rises into the abdomen.…”

Section: Introductionmentioning

confidence: 99%

Use of Cystoinflation to Prevent Urinary Tract Injuries in Patients with Placenta Previa

Uzma Hussain,

Faryal Kanwal,

Muhammad Essa

et al. 2024

biosight

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Introduction: There is insufficient evidence to support the use of cystoinflation to prevent bladder injury in women with placenta previa. The purpose of this study is to find the effectiveness and safety of cystoinflation to prevent bladder injury in women with placenta previa. Methods: The study was conducted at Gynecology & Obstetrics Department, lady Willing-don hospital, Lahore for six months duration . The research was conducted by forming two groups. Women in Group-A (inflated urinary bladder) had significantly lower bladder injury as compared to women in Group-B (deflated urinary bladder). i.e. 1.9% vs. 11.32%, p-value=0.050. Results: Homeostatic sutures requirement was significantly higher in Group-B as that of Group-A. i.e. 15.1% vs. 18.9%, p-value=0.604 Duration of hospital stay showed no significant difference between groups. i.e. 96.2% patients in Group-A and 88.7% patients in Group-B discharged from hospital within 3-4 days. Conclusion: Based on the results of this study, women presenting with placenta previa had significantly lower incidences of bladder injury as a result of cystoinflation during cesarean section.

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“…[ 11 ] In morbidly adherent placenta cases, filling-up of the bladder with 200 ml normal saline prior to CS would reduce the bladder injury. [ 12 13 ]…”

Section: Introductionmentioning

confidence: 99%

Cesarean bladder injury – obstetrician's nightmare

Pal

Soma²

2020

J Family Med Prim Care

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Urinary bladder is an adjacent viscus susceptible for intraoperative injury during cesarean section (CS). Prolonged labor, scarred uterus, intraabdominal adhesion, emergency CS, advanced labor, cesarean hysterectomy etc., are the predisposing factors for bladder injury during CS. While operating on such conditions, one should be meticulous to explore the possibility of bladder injury. Family physician practicing community obstetrics should be aware of this and know how to tackle this. Usually the dome of the bladder is injured and the trigonal area remains away from the injury field by 6–10 cm. Bladder rent is repaired in two layers either by continuous simple or interrupted suture with 3-0 & 2-0 polyglycolic acid suture. Suprapubic cystostomy and transurethral catheter are kept for 10–14 days. While postoperative adhesion, CS during full dilatation of cervix, abnormal anatomy etc., may not proceed for negligence, bladder injury in normal patients and unrecognized intraoperative bladder injury may attract penalty from the consumer court.

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Bladder filling before accreta surgery is a very effective method for preventing bladder injury: a retrospective cohort study

Cited by 8 publications

References 21 publications

Urological complications in women undergoing Cesarean section for placenta accreta spectrum disorders: systematic review and meta‐analysis

Urological complications in women undergoing Cesarean section for placenta accreta spectrum disorders: systematic review and meta‐analysis

Use of Cystoinflation to Prevent Urinary Tract Injuries in Patients with Placenta Previa

Cesarean bladder injury – obstetrician's nightmare

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