Conservative management of placental invasion anomalies with an intracavitary suture technique

Basit Öğe Kaydı
dc.contributor.authorAcar, Ali
dc.contributor.authorErcan, Fedi
dc.contributor.authorPekin, Aybike
dc.contributor.authorAtilgan, Adeviye Elci
dc.contributor.authorSayal, Hasan Berkan
dc.contributor.authorBalci, Osman
dc.contributor.authorGorkemli, Hueseyin
dc.date.accessioned2024-02-23T12:11:09Z
dc.date.available2024-02-23T12:11:09Z
dc.date.issued2018
dc.departmentNEÜen_US
dc.description.abstractObjective: To assess the efficacy and safety of a new surgical suture technique for uterine preservation among patients with placental invasion anomalies. Methods: The present prospective case series included women diagnosed with placental invasion anomalies undergoing cesarean deliveries who desired future fertility at the obstetrics department of a Turkish university hospital between January 10, 2013, and April 20, 2017. Patients were diagnosed with ultrasonography and Doppler ultrasonography; the type of placental invasion anomaly (placenta accreta, increta, or percreta) was confirmed intraoperatively. Surgical management involved an intracavitary suture technique after the proximal branch of the uterine artery was clamped and utero-ovarian anastomoses had been blocked. Outcomes included units of blood transfused, intraoperative and postoperative adverse events, duration of hospital admission, and hysterectomy rate. Results: There were 62 patients included. The mean operative blood loss was 1350 +/- 750mL (range 600-5000 mL). Blood transfusion required a mean of four units (range 2-15). Bleeding was controlled with the intracavitary sutures in 58 (94%) patients. Three patients experienced postoperative wound infections and two patients developed endometritis that required therapy with broad-spectrum antibiotics. The mean length of hospital stay was 3.61.6 days (range 2-11). None of the patients required reoperation after the initial surgery. Conclusion: The novel uterus-sparing suture technique was highly effective among patients with placental invasion anomalies.en_US
dc.identifier.doi10.1002/ijgo.12593
dc.identifier.endpage190en_US
dc.identifier.issn0020-7292
dc.identifier.issn1879-3479
dc.identifier.issue2en_US
dc.identifier.pmid29989156en_US
dc.identifier.scopus2-s2.0-85052617703en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage184en_US
dc.identifier.urihttps://doi.org/10.1002/ijgo.12593
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10570
dc.identifier.volume143en_US
dc.identifier.wosWOS:000446167800011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofInternational Journal Of Gynecology & Obstetricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectConservative Managementen_US
dc.subjectIntracavitary Sutureen_US
dc.subjectPlacenta Accretaen_US
dc.subjectPlacenta Incretaen_US
dc.subjectPlacenta Percretaen_US
dc.subjectPlacenta Previaen_US
dc.subjectPlacental Invasion Anomalyen_US
dc.subjectUterine Preservationen_US
dc.titleConservative management of placental invasion anomalies with an intracavitary suture techniqueen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu