A new approach to cesarean section for placenta previa accreta


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Resumo

Objective. To evaluate the efficiency of combined tactics using the Zhukovsky vaginal and uterine catheters when stopping postpartum bleeding due to placenta previa increta. Subjects and methods. The investigation enrolled 79 pregnant women with rotation of the placenta previa. Surgical treatment (uterine arterial ligation; compression sutures; dissection of the ingrown lobe of the placenta or metroplasty) was used in Group 1; a surgical technique was used in combination with the Zhukovsky uterine balloon catheter in Group 2; surgical hemostasis was combined with the Zhukovsky uterine and vaginal catheters in Group 3. Resu1ts. Blood loss during surgical hemostasis in combination with the Zhukovsky catheters was significantly lower than that during isolated surgical hemostasis. There was no difference in blood loss when the uterine catheter was used alone or in combination of the vaginal catheter Conclusion. The use of the Zhukovsky catheters permits one to perform organ-sparing surgery for placenta previa and lower-segment bleeding due to placenta accreta.

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Sobre autores

Sergej Barinov

Omsk State Medical University

Email: barinov_omsk@mail.ru
doctor of medical sciences, professor, head of the department of obstetrics and gynecology № 2

Yuliya Tirskaya

Omsk State Medical University

Email: yulia.tirskaya@yandex.ru
doctor of medical sciences, docent, associate professor at the department of obstetrics and gynecology № 2

Irina Medyannikova

Omsk State Medical University

Email: mediren@gmail.com
candidate of medical sciences, associate professor at the department of obstetrics and gynecology № 2

Inna Shamina

Omsk State Medical University

Email: innadocsever@rambler.ru
candidate of medical sciences, assistant professor at the department of obstetrics and gynecology № 2

Vyacheslav Ralko

Omsk Regional Clinical Hospital

Email: okb_mail@minzdrav.omskportal.ru
candidate of medical sciences, deputy chief physician for obstetrical and gynecological aid

Irina Razdobedina

Omsk Regional Clinical Hospital

Email: okb_mail@minzdrav.omskportal.ru
head of the obstetrics department

Ol’ga Grebenyuk

Omsk Regional Clinical Hospital

Email: okb_mail@minzdrav.omskportal.ru
head of the obstetric physiological department

Yuliya Kovaleva

Omsk Regional Clinical Hospital

Email: okb_mail@minzdrav.omskportal.ru
head of pregnancy pathology department

Inna Shavkun

Omsk Regional Clinical Hospital

Email: okb_mail@minzdrav.omskportal.ru
doctor obstetrician-gynecologist obstetric observatory department

Bibliografia

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