Planned cesarean hysterectomy versus modified form of segmental resection in patients with placenta percreta

Objectives: The aim of this study was to compare some clinical characteristics of two different management alternatives in pregnants with placental invasion anomalies. Methods: We conducted a single-center retrospective study of all patients who delivered with invasive placentation between January 2...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2018-11, Vol.31 (22), p.2935-2940
Main Authors: Kilicci, Cetin, Ozkaya, Enis, Eser, Ahmet, Bostanci, Evrim Ergen, Sanverdi, Ilhan, Abide Yayla, Cigdem, Tozkir, Elif, Eser, Semra Kayatas
Format: Article
Language:English
Subjects:
abnormal placentation
Adult
Cesarean Section
Female
Humans
Hysterectomy
Obstetric Surgical Procedures
Organ Sparing Treatments
Placenta Accreta - surgery
Placenta percreta conservative management
Pregnancy
Retrospective Studies
segmental resection
uterus preserving surgery
Young Adult
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Summary:Objectives: The aim of this study was to compare some clinical characteristics of two different management alternatives in pregnants with placental invasion anomalies. Methods: We conducted a single-center retrospective study of all patients who delivered with invasive placentation between January 2016 and May 2017. We included only the patients with placental invasion anomaly and planned cesarean section. Results: Fifty-one pregnants met the inclusion criteria. Cesarean hysterectomy was performed in 29 patients and segmental resection in 22. Major intraoperative and postoperative complications were comparable between the two groups. There were significant differences between the groups with regard to gravidity, pre- and post-operative hemoglobin concentrations, number of packed red blood cell transfused, and operation time (p 
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2017.1359535