Bladder filling technique to prevent complications of the urinary system during placenta accrete surgery

Placenta accrete spectrum (PAS) disorders are significant life-threatening nosology due to increased maternal morbidity and mortality in this condition. All surgical interventions in PAS can be accompanied by a high percentage of massive obstetric bleeding and a high frequency of urological complica...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2022-02, Vol.35 (3), p.607-609
Main Authors: Kuznetsova, Natalia, Bushtyreva, Irina, Barinova, Victoria, Shmakova, Kristina
Format: Article
Language:English
Subjects:
Blood Loss, Surgical - prevention & control
Cesarean Section - adverse effects
Female
Humans
Hysterectomy
Placenta - surgery
Placenta Accreta - surgery
Placenta Previa - surgery
Pregnancy
Retrospective Studies
Urinary Bladder - surgery
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Summary:Placenta accrete spectrum (PAS) disorders are significant life-threatening nosology due to increased maternal morbidity and mortality in this condition. All surgical interventions in PAS can be accompanied by a high percentage of massive obstetric bleeding and a high frequency of urological complications, such as injuries of the ureter and bladder. To evaluate the effectiveness of the bladder filling technique during cesarean section and metroplasty in case of PAS we analyzed 41 women, that were delivered in Regional Perinatal Center (Rostov-on-Don, Russia) in the period from 2015 to 2018. Group I included 22 pregnant women who underwent a cesarean section followed by metroplasty using the method of intraoperative filling of the bladder with physiological saline. Group II (  = 19) underwent cesarean section with metroplasty without filling the bladder. In group I, one woman had a bladder injury, in group II -6 women, which is statistically significantly more often (  
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2020.1723077