Modified cesarean hysterectomy technique for management of cases of placenta increta and percreta at a tertiary referral hospital in Egypt
| Autor: | Ayman N. Raslan, Mohamed Nabil, Ahmed Hussein, Ali Abdelhafeez, Dina M.R. Dakhly, Ahmed Kamel, Mohamed Momtaz |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Placenta Uterus Placenta Accreta Hysterectomy Tertiary referral hospital Tertiary Care Centers Young Adult Pregnancy Blood product medicine Humans Prospective Studies Radical Hysterectomy Prospective cohort study Retrospective Studies Cesarean Section business.industry Obstetrics and Gynecology General Medicine Surgery medicine.anatomical_structure Egypt Female business Packed red blood cells Cesarean hysterectomy |
| Zdroj: | Archives of Gynecology and Obstetrics. 299:695-702 |
| ISSN: | 1432-0711 0932-0067 |
| Popis: | To evaluate the effect of a modified type II radical hysterectomy on maternal morbidities and mortality in cases with abnormally invasive placenta (AIP). 63 cases with AIP were managed at one of the largest referral centers in Egypt in a prospective study design. This technique entails devascularization of the uterus laterally on both sides and to clamp the uterus at the lowest possible point just below the level of the placenta while sparing the ureters. The difference between pre- and post-operative hemoglobin was only about 1 gm/dl, and the mean blood loss was 1673 ± 958 ml. There was a significant drop in the post-operative need for blood and blood product replacement, packed red blood cells (p = 0.013), fresh red blood cells (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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