Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta

Saygılı Yılmaz, Esra; Eskimez, Eda; Uysal, Gulsum; TANRIDAN OKCU, Nefise

Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta

Gülsüm Uysal, (Sağlık Bilimleri Üniversitesi, Adana Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Adana, Türkiye)

Nefise TANRIDAN OKCU, (Sağlık Bilimleri Üniversitesi, Adana Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Adana, Türkiye)

Eda Eskimez, (Sağlık Bilimleri Üniversitesi, Adana Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Adana, Türkiye)

Esra Saygılı Yılmaz (Sağlık Bilimleri Üniversitesi, Adana Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Adana, Türkiye)

The European Research Journal

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Yıl: 2019 Cilt: 5 Sayı: 1 Sayfa Aralığı: 50 - 57 Metin Dili: İngilizce İndeks Tarihi: 16-04-2021

Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta

Öz:

Objectives: To evaluate and describe a surgical approach for uterine preservation and management ofpostpartum hemorrhage in placenta accreta spectrum (PAS).Methods: We analyzed the data of patients who were diagnosed with placenta previa companied with PASprenatally and subsequently performed cesarean section with local resection technique to manage postpartumhemorrhage and uterine preservation at our tertiary care center between January 2016 and August 2017. Thetechnique includes the local resection of placental invasion site and suturing the new uterine edges withoutinternal iliac artery ligation.Results: The diagnosis of placenta accreta spectrum anterior in all 11 cases was confirmed intraoperatively.Only 1 case underwent hysterectomy in a second operation. Two of cases had bladder injury. The meanoperative time was 99 ± 30 minutes. The mean received packed red blood cells was 2.3 ± 1.0 units. The meanlength of postoperative hospital stay was 4.5 ± 1.4 days. There was no late complications regardingcoagulopathy and infection. No maternal mortality was observed.Conclusion: Local resection is an effective, safe and fertility preserving approach in selected patients withPAS.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Uysal G, TANRIDAN OKCU N, Eskimez E, Saygılı Yılmaz E (2019). Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. , 50 - 57.
Chicago	Uysal Gulsum,TANRIDAN OKCU Nefise,Eskimez Eda,Saygılı Yılmaz Esra Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. (2019): 50 - 57.
MLA	Uysal Gulsum,TANRIDAN OKCU Nefise,Eskimez Eda,Saygılı Yılmaz Esra Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. , 2019, ss.50 - 57.
AMA	Uysal G,TANRIDAN OKCU N,Eskimez E,Saygılı Yılmaz E Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. . 2019; 50 - 57.
Vancouver	Uysal G,TANRIDAN OKCU N,Eskimez E,Saygılı Yılmaz E Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. . 2019; 50 - 57.
IEEE	Uysal G,TANRIDAN OKCU N,Eskimez E,Saygılı Yılmaz E "Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta." , ss.50 - 57, 2019.
ISNAD	Uysal, Gulsum vd. "Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta". (2019), 50-57.

APA	Uysal G, TANRIDAN OKCU N, Eskimez E, Saygılı Yılmaz E (2019). Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. The European Research Journal, 5(1), 50 - 57.
Chicago	Uysal Gulsum,TANRIDAN OKCU Nefise,Eskimez Eda,Saygılı Yılmaz Esra Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. The European Research Journal 5, no.1 (2019): 50 - 57.
MLA	Uysal Gulsum,TANRIDAN OKCU Nefise,Eskimez Eda,Saygılı Yılmaz Esra Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. The European Research Journal, vol.5, no.1, 2019, ss.50 - 57.
AMA	Uysal G,TANRIDAN OKCU N,Eskimez E,Saygılı Yılmaz E Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. The European Research Journal. 2019; 5(1): 50 - 57.
Vancouver	Uysal G,TANRIDAN OKCU N,Eskimez E,Saygılı Yılmaz E Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta. The European Research Journal. 2019; 5(1): 50 - 57.
IEEE	Uysal G,TANRIDAN OKCU N,Eskimez E,Saygılı Yılmaz E "Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta." The European Research Journal, 5, ss.50 - 57, 2019.
ISNAD	Uysal, Gulsum vd. "Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta". The European Research Journal 5/1 (2019), 50-57.