Urological Manifestations of Placenta Percreta

Ibrahim, Mina; Liu, Angela; Dalpiaz, Amanda; Schwamb, Richard; Warren, Kelly; Khan, Sardar

doi:10.1159/000365691

Cited by 10 publications

(10 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, bladder injury was significantly higher in our study; a possible explanation would be that none of our patients underwent subtotal hysterectomy; instead they all underwent total abdominal hysterectomies. Although a meta-analysis has not previously found any advantage of subtotal over total hysterectomy [ 38 ], unsurprisingly as a teaching hospital; JUH has an unblemished strategy for performing total instead of subtotal hysterectomies attended by at least two senior consultants. In fact, subtotal hysterectomy vintages to lower risks of bladder/bowel injuries and blood loss, less lengthy operative time and hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Emergency peripartum hysterectomy at Jordan University hospital – a teaching hospital experience

Qatawneh¹,

Fram²,

Thikerallah³

et al. 2020

View full text Add to dashboard Cite

Introduction Emergency peripartum hysterectomy (EPH) is a foremost operation and is perpetually implemented in the presence of life intimidating hemorrhage during or immediately after abdominal or vaginal deliveries. The aim of this study was to review cases managed at the Department of Gynecology and Obstetrics at Jordan University Hospital (JUH). Material and methods All women who underwent EPH due to any cause in the period from January 2010, to December 2017 were included in the study. Data were collected retrospectively using the patients’ files namelessly. Main measures: age, gravidity, parity, number of previous cesarean sections, previous uterine surgeries, indication for hysterectomy, complications, antepartum bleeding and the need for blood transfusion. Results In total, 74 cases of EPH were managed during the study period. The incidence of EPH ranged from 0.24 to 8.7 per 1000 deliveries. EPH was found to be more common following cesarean sections than vaginal deliveries. The prime indication was abnormal placentation, uterine atony, and uterine rupture. The risk factors included previous cesarean sections, scarred uteruses, multiparity, older age group. Maternal morbidity ranged from 26.5 to 31.5% and mortality from 0 to 12.5% with a mean of 4.8%. Conclusions EPH is the most demanding obstetric surgery performed in very tiresome circumstances of life threatening hemorrhage. The indication for EPH in recent years has changed from outdated uterine atony to abnormal placentation. Antenatal eagerness of the risk factors, engrossment of proficient obstetricians at an early stage of management and a prompt hysterectomy after adequate resuscitation would go a long way in tumbling morbidity and mortality.

show abstract

Section: Discussionmentioning

confidence: 99%

Emergency peripartum hysterectomy at Jordan University hospital – a teaching hospital experience

Qatawneh¹,

Fram²,

Thikerallah³

et al. 2020

View full text Add to dashboard Cite

show abstract

“…93 The most important risk factor for placenta percreta is the observation of placenta previa in a subsequent pregnancy, following a previous cesarean delivery. 94 Severe hemorrhage may occur, resulting in maternal and/or fetal demise. 95 One meta-analysis found maternal and fetal fatality rates of 6% and 19%, respectively.…”

Section: Placenta Percreta With Invasion Into Urinary Bladdermentioning

confidence: 99%

Urological issues in pregnancy: A review for urologists

White

Ory

Powers

et al. 2020

CUAJ

View full text Add to dashboard Cite

Urological issues in the pregnant patient present a unique clinical dilemma. These patients may be challenging to treat due to risks associated with medications and surgical procedures. This review aims to provide an update on the physiological changes and surgical risks in pregnancy. In addition, we review the approach for management of urolithiasis and urinary tract infections (UTIs) in pregnancy. Lastly, we highlight the importance of a multidisciplinary approach to placenta percreta, a condition not commonly addressed in urological education.

show abstract

“…Peraugusi placenta -tai rečiausias ir pavojingiausias patologinio placentos prisitvirtinimo variantas, kai choriono gaureliai visiškai perauga gimdos sienelę ir serozinį dangalą, gali skverbtis į aplinkines struktūras ir peraugti kitus dubens organus. Peraugusios placentos dažnis, įvairių tyrimų duomenimis, skiriasi -nuo 0,085 iki 1 iš 1000 nėštumų [2,3]. Pasireiškimo rizika didėja dėl to, kad vis dažniau atliekamos cezario pjūvio operacijos [4].…”

Section: įVadasunclassified

Preokliuzinių balionėlių naudojimas perioperaciniam kraujavimui mažinti esant invazyviai placentai: tretinio lygio stacionaro patirtis ir literatūros apžvalga

Morozovaitė¹,

Šiaudinytė²,

Volochovič³

et al. 2017

LietChirur

View full text Add to dashboard Cite

Įvadas / tikslasNenormalus choriono gaurelių skverbimasis ir placentos prisitvirtinimas vadinamas invazyvia placenta. Pavojingiausias šios patologijos variantas yra peraugusi placenta. Viena sunkiausių peraugusios placentos komplikacijų yra masyvus kraujavimas. Vienas galimų būdų sumažinti netekto kraujo kiekį operacijos metu yra preokliuzinių balionėlių išpūtimas gimdą maitinančiose kraujagyslėse. Straipsnio tikslas -aptarti preokliuzinių balionėlių naudojimą pacientėms, kurioms antenataliniu laikotarpiu diagnozuota peraugusi placenta, palyginti kraujavimo profilaktikos taktiką ir pateikti literatūros apžvalgą. Tyrimo medžiaga ir metodai Atlikta retrospektyvioji dviejų pacienčių medicininės dokumentacijos analizė, palyginti taikytos intervencinės radiologijos metodikos ypatumai bei pateikta literatūros apžvalga. 205Preokliuzinių balionėlių naudojimas perioperaciniam kraujavimui mažinti esant invazyviai placentai: tretinio lygio stacionaro patirtis ir literatūros apžvalga RezultataiAntenataliniu laikotarpiu diagnozavus invazyvią placentą, nutarta pacientėms prieš suplanuotas cezario pjūvio operacijas masyvaus kraujavimo profilaktikai išpūsti į gimdą maitinančias kraujagysles įstumtus preokliuzinius balionėlius iškart po naujagimio gimimo. Pirmuoju atveju balionėliai išleisti tik perkėlus pacientę į skyrių. Praėjus 4 valandoms po operacijos dėl vidinio kraujavimo buvo atlikta relaparatomija, revizuotos kraujagyslių bigės, papildoma perrišta kairė vidinė klubinė arterija. Antruoju atveju balionėliai išleisti ir ištraukti prieš užbaigiant cezario pjūvio operaciją, dar kartą patikrinta hemostazė. Išvados Peraugusi placenta yra grėsminga akušerinė patologija, galinti sukelti masyvų kraujavimą. Pacienčių gydymas turi būti iš anksto atsakingai planuojamas. Intervencinės radiologijos metodai padeda sumažinti netekto kraujo kiekį. Norint užtikrinti adekvačią hemostazę, preokliuzinius balionėlius reikėtų išleisti prieš baigiant operaciją. Reikšminiai žodžiai: invazyvi placenta, kraujavimas akušerijos praktikoje, intervencinė radiologija, preokliuziniai balionėliai Background / ObjectiveAbnormal penetration of chorionic villi into the wall of uterus is called invasive placenta. The most dangerous type is placenta percreta. It can lead to massive bleeding, which is one of the most serious complications. In order to reduce blood loss during operation intraoperative balloon occlusion of uterus supplying vessels could be use. Our aim is to present the management of perioperative balloon occlusion for two patients with antenatal diagnosis of placenta percreta, compare the prophylaxis of bleeding and review literature. Patients and MethodsWe carried out a retrospective analysis of medical history of two patients, compared interventional radiology methods between these cases and performed a literature review. ResultsTwo patients with antenatal diagnosis of placenta percreta were determined to undergo an elective cesarean section. Preoperative balloon insertion and inflation after birth was used for massive bleeding prophylaxis. I...

show abstract

Urological Manifestations of Placenta Percreta

Cited by 10 publications

References 44 publications

Emergency peripartum hysterectomy at Jordan University hospital – a teaching hospital experience

Emergency peripartum hysterectomy at Jordan University hospital – a teaching hospital experience

Urological issues in pregnancy: A review for urologists

Preokliuzinių balionėlių naudojimas perioperaciniam kraujavimui mažinti esant invazyviai placentai: tretinio lygio stacionaro patirtis ir literatūros apžvalga

Contact Info

Product

Resources

About