A Novel and Multidisciplinary Strategy for Cesarean Delivery With Placenta Percreta: Intraoperative Embolization in a Hybrid Suite.

Abstract

Cesarean deliveries in patients with placenta accreta often are accompanied by life-threatening bleeding and sometimes death. A novel, multidisciplinary approach that uses uterine embolization after cesarean delivery recently has been advocated; however, embolization in the radiology department requires transfer of postoperative patients, which could increase maternal mortality and morbidity. In a case of severe placenta accreta, we planned a stepwise treatment, including cesarean delivery without separation of the placenta followed by intraoperative uterine arterial embolization in a hybrid operating room, followed by hysterectomy a few weeks after cesarean delivery. With no postpartum bleeding, complete hysterectomy was performed uneventfully 25 days later.

• Authors: Yasutaka Konishi, Satoshi Yamamoto, Kei Sugiki, Hidetoshi Sakamoto, Shigehito Sawamura
• Journal: A & A case reports (A A Case Rep) Vol. 7 Issue 6 Pg. 135-8 (Sep 15 2016) ISSN: 2325-7237 [Electronic] United States
• PMID: 27464941 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Cesarean Section (methods)
• Combined Modality Therapy (methods)
• Embolization, Therapeutic (methods)
• Female
• Humans
• Intraoperative Care (methods)
• Placenta Accreta (diagnostic imaging, therapy)
• Pregnancy