Conventional and conservative management of placenta accreta is two ends of a single continuum: A report of three cases and literature review

Khan, Yahya; Rahim, Arooba; Gardezi, Javed; Iqbal, Mariam Danish; Hassan, Zahira; Altaf, Sumbal; Bhatti, Shahzad

doi:10.1002/ccr3.1717

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…According to the histopathological aspect, based on chorionic villus infiltration into the myometrial uterine wall, PASD includes placenta accreta, placenta increta and placenta percreta [1,2]. Globally, the incidence of PASD occurs rarely in 1:1000 deliveries, ranging from 0.04% to 0.9%, reported based on case reports or by case series [3][4][5][6]. However, this substantial morbidity is unceasingly increased, arose robustly from the rate of caesarean delivery worldwide [7,8].…”

Section: Introductionmentioning

confidence: 99%

A novel approach in the management of placenta accreta spectrum disorders at Tu Du Hospital: a single-center surgical experience from Vietnam

Pham¹,

Vuong²,

Vuong³

et al. 2022

It Journ Gyn Obs

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Objective:The goal was to describe some primary outcomes including intraoperative and postoperative adverse events such as blood loss amount, blood transfusion amount, operative time, the length of hospital stay as well as unexpected complications of uterine conservative surgery. The secondary outcome was to determine the success rate in approaching the management of placenta accreta spectrum disorders (PASD). Materials and Methods:A retrospective observational study enrolled 65 patients from January 2017 to December 2018 at Tu Du Hospital, in Vietnam. The study included all the pregnant women underwent caesarean delivery due to PASD diagnosed preoperatively by ultrasound or upon laparotomy and gestational age was more than 28 weeks. Additionally, all patients were performed with uterine conservative surgery from January 2017 to December 2018.Results: Overall, the rate of successful preservation was 93.8%. Other main parameters evaluated as average operative blood loss was 987mL, mean blood transfusion was 831 ± 672 mL; mean operative time was 135 ± 31 minutes and average postoperative time was 5.79 days. Postoperative complications included six out of 65 cases due to intraoperative bleeding and postoperative infection, requiring peripartum hysterectomy in 4 patients. Conclusion:Uterine conservative surgery is related to less operative blood loss and blood transfusion amount. Thus, this method had a high success rate in preserving the uterus. Further studies might be necessary to evaluate the long-term effects of this method in PASD management.

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Section: Introductionmentioning

confidence: 99%

A novel approach in the management of placenta accreta spectrum disorders at Tu Du Hospital: a single-center surgical experience from Vietnam

Pham¹,

Vuong²,

Vuong³

et al. 2022

It Journ Gyn Obs

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“…Conservative methods involve uterine conservation with leaving placenta in situ and adjuvant treatment of methotrexate injection or internal iliac artery ligation 9 . The complications associated with accrete could be torrential haemorrhage, injury to bladder, bowel, massive transfusion, renal failure, DIC (disseminated intravascular coagulation) and maternal death 10 . In our country uterus is given a lot of importance and if a woman loses her uterus at a younger age, the husband gets an opportunity to marry someone else as his wife has lost her womanhood.…”

Section: Introductionmentioning

confidence: 99%

Management of Placenta Previa with Accreta: A Case Series in Public Tertiary Care Hospital

Rashid

Munim

2020

ashkmdc

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Placenta previa with accreta is a rare cause of major obstetric hemorrhage resulting in maternal morbidity and mortality. A case series of 08 patients of placenta previa with accreta presented at Abbasi Shaheed hospital Gynecology unit 1 from January 2018 to December 2018. Seven (07) patients were delivered by Caesarean Section and one vaginally. In 05 patients placenta was left in situ and injection methotrexate was given. Removal of placenta during Lower Segment Caesarean Section (LSCS) and bilateral internal iliac artery ligation was done in 02 cases. Febrile illness occurred in 02 patients. One patient required laparotomy on fifteenth postoperative day due to uterine scar dehiscence. Two cases required obstetrical hysterectomy due to torrential hemorrhage. Conservative management in women with placenta previa with accreta has proven to be successful in carefully selected cases at tertiary care hospital with multi-disciplinary team.

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Conventional and conservative management of placenta accreta is two ends of a single continuum: A report of three cases and literature review

Cited by 2 publications

References 17 publications

A novel approach in the management of placenta accreta spectrum disorders at Tu Du Hospital: a single-center surgical experience from Vietnam

A novel approach in the management of placenta accreta spectrum disorders at Tu Du Hospital: a single-center surgical experience from Vietnam

Management of Placenta Previa with Accreta: A Case Series in Public Tertiary Care Hospital

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