EXPERIENCE WITH ORGAN-SPARING SURGERY FOR PLACENTA ACCRETA


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Abstract

Objective. To generalize the experience of managing patients with true placenta accrete, by ligating the internal iliac arteries and embolizing the uterine arteries, and to determine whether organ-sparing surgery can be performed in placenta accreta. Subjects and methods. Thirty case histories were analyzed in patients with placenta previa and accreta. The diagnosis was established from the data of Doppler ultrasound study and confirmed by magnetic resonance imaging. For hemostasis, the internal iliac arteries were ligated in 15 patients (Group 1); the fetus was extracted through incision into the fundus of the uterus, followed by embolization of the uterine arteries, in 15 patients (Group 2). Results. When the uterine arteries were embolized, in the vast majority of patients, blood loss was less than that when the internal arteries were ligated. Conclusion. The data given suggest that organ-sparing surgery can be performed in true placenta accrete.

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About the authors

M. A KURTSER

Center of Family Planning and Reproduction, Moscow Healthcare Department

Email: gms@cfp.ru

I. Yu BRESLAV

Perinatal Medical Center, Moscow

M. V LUKASHINA

Perinatal Medical Center, Moscow

A. M SHTABNITSKY

Center of Family Planning and Reproduction, Moscow Healthcare Department

A. V PANIN

Center of Family Planning and Reproduction, Moscow Healthcare Department

T. V ALEKSEYEVA

Center of Family Planning and Reproduction, Moscow Healthcare Department

I. V PLATITSIN

Center of Family Planning and Reproduction, Moscow Healthcare Department

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