Prevention and therapy of massive obstetric bleeding with placenta percreta 3b
نویسندگان
چکیده
The objective: to reduce the intra- and postoperative complications, massive intraoperative blood loss during abdominal delivery of pregnant women with placenta percreta 3b using endovascular technique temporary balloon occlusion infrarenal aorta. Materials methods. Caesarean section in uterus fundus was performed 21 invasion perivesical tissue, partial posterior wall bladder (degree 3b). main group included 7 who had lower median laparotomy caesarean uterine aorta after fetal removal subsequent hysterectomy without appendages plastics. comparison 14 prior suturing defect area its placental tissue. Pregnant both groups were representative for age, parity, somatic pathology. diagnosis all cases confirmed by ultrasound examination Doppler magnetic resonance imaging. All delivered 36-37 weeks gestation. article also presents a clinical case: woman an innovative minimize loss, which conducted at Kyiv Regional Perinatal Center. Results. It determined that plastics reduces (from 1758.0±110.0 ml 955.0±70.0 ml), duration surgery 112.0±11.0 min 87.0±9.0 min), hospitalization 11±2 days 7±1 days), need transfusions improves long-term consequences. Conclusions. Innovative technology cesarean significantly likelihood bleeding, organ damage, hospitalization.
منابع مشابه
An undiagnosed case of placenta percreta presenting as a massive hemoperitoneum in obstetric emergency
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ژورنال
عنوان ژورنال: Reproductive health of woman
سال: 2022
ISSN: ['2708-8723', '2708-8731']
DOI: https://doi.org/10.30841/2708-8731.2.2022.261800