The effectiveness of complex compression hemostasis in treating different grades of the placenta accreta spectrum disorders


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Abstract

Aim. To assess the effectiveness of complex compression hemostasis in treating different grades of the placenta accreta spectrum disorders. Materials and methods. A prospective analysis included 127 patients identified as having placenta accreta (n=62), placenta increta (n=58), and placenta percreta (n=7). All patients underwent a cesarean section and metroplasty with complex compression hemostasis. Results. The blood loss volume was associated with the grades of the placenta accreta spectrum disorders making up 2943 (2039) ml, 1437(694.5) ml and 1187(632.6) ml, in patients with placenta percreta, placenta increta and placenta accreta, respectively. Conclusion. Patients with different grades of the placenta accreta spectrum disorders had statistical differences in intraoperative blood loss volume and transfusion volume. Complex compression hemostasis was an effective hemostatic surgical technique for treating different grades of the placenta accreta spectrum disorders.

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About the authors

Tatyana M. Zabelina

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: romashova-1993@bk.ru
Ph.D. Student

Oksana N. Vasil'chenko

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: o_vasilchenko@oparina4.ru
Ph.D., Senior Researcher at the Department of Innovative Technologies, Institute of Obstetrics

Roman G. Shmakov

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: r_shmakov@oparina.ru
Dr.Med.Sci., Professor of the RAS, Director of the Institute of Obstetrics

Maria M. Pirogova

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: pirogovamaria@gmail.com
Ph.D. Student

Galiya N. Karimova

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: g_karimova@oparina.ru
Ph. D., Obstetrician-Gynecologist

Vladimir D. Chuprynin

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: v_chuprynin@oparina4.ru
Ph. D, Head of the Surgical Department

Alexander I. Shchegolev

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: ashegolev@oparina4.ru
Dr.Med.Sci., Professor, Head of the Department of Anatomic Pathology

Larisa S. Ezhova

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: l_ezhova@oparina4.ru
Senior Researcher at the Department of Anatomic Pathology

Alexander I. Gus

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: a_gus@oparina4.ru
Dr.Med.Sci., Professor, Head of the Department of Ultrasound and Functional Diagnostics

Yulia V. Boikova

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: j_boikova@oparina4.ru
Ph.D., Physician at the Department of Ultrasound and Functional Diagnostics

Vladimir G. Bychenko

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: v_bychenko@oparina4.ru
Ph. D., Head of the Department of Diagnostic Imaging

Polina V. Uchevatkina

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: p_uchevatkina@oparina4.ru
Physician at the Department of Diagnostic Imaging

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