Conservative management of placenta percreta: a stepwise approach.

Abstract

PURPOSE:

To describe a modified surgical approach in the form of stepwise cesarean section in placenta percreta.

METHODS:

We conducted a prospective observational study. A total of 71 patients with placenta percreta were subjected to the new stepwise surgical approach and uterine repair at the time of cesarean delivery.

RESULTS:

The procedure was successful in controlling the bleeding and preserving the patient's uterus in 65 (91.5%) women. Ten patients (14.1%) had urinary tract complications, nine (90%) were managed during cesarean section and one presented late in the form of vesicouterine fistula.

CONCLUSIONS:

A stepwise cesarean section is safe and effective procedure that can be applied in placenta percreta.

• Authors: Ahmed Shabana, Muhammad Fawzy, Waleed Refaie
• Journal: Archives of gynecology and obstetrics (Arch Gynecol Obstet) Vol. 291 Issue 5 Pg. 993-8 (May 2015) ISSN: 1432-0711 [Electronic] Germany
• PMID: 25288269 (Publication Type: Evaluation Study, Journal Article, Observational Study)

Topics

• Adult
• Blood Loss, Surgical (prevention & control)
• Cesarean Section (adverse effects)
• Female
• Fistula (etiology)
• Humans
• Magnetic Resonance Imaging
• Placenta Accreta (surgery)
• Postpartum Hemorrhage (surgery)
• Pregnancy
• Pregnancy Trimester, Third
• Prospective Studies
• Treatment Outcome
• Ultrasonography, Doppler, Color
• Uterus (surgery)