A case of placenta percreta with massive hemorrhage during cesarean section

Kume, Katsuyoshi; Tsutsumi, Yasuo M.; Soga, Tomohiro; Shibata, Yoko; Kambe, Noriko; Kawanishi, Ryosuke; Hamaguchi, Eisuke; Kawahara, Tomiya; Kasai, Asuka; Nakaji, Yoshimi; Horikawa, Yousuke T.; Nakayama, Sosogu; Kaji, Tatsuru; Irahara, Minoru; Tanaka, Katsuya

doi:10.2152/jmi.61.208

Cited by 14 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A last‐resort treatment is to perform a hysterectomy; however, unlike other types of postpartum hysterectomy, this is a complex procedure that requires advanced technical skills and hospital resources. Although posterior and parametrial invasions are not frequent, they can both significantly modify the surgical maneuvres.…”

Section: Clinical Questionsmentioning

confidence: 99%

Counseling in fetal medicine: evidence‐based answers to clinical questions on morbidly adherent placenta

D’Antonio

Palacios‐Jaraquemada

Lim

et al. 2016

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

Section: Clinical Questionsmentioning

confidence: 99%

Counseling in fetal medicine: evidence‐based answers to clinical questions on morbidly adherent placenta

D’Antonio

Palacios‐Jaraquemada

Lim

et al. 2016

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

“…При развитии острой массивной кровопотери необходимо адекватное проведение инфузионно-трансфузионной терапии. Причем чем глубже инвазия плаценты, тем более ожидаемо значительное кровотечение, которое требует большего объема компонентов крови, гемостатических препаратов, и тем выше общая частота осложнений [15,16].…”

Section: результаты исследования и их обсуждениеunclassified

Patient’s blood management in obstetric practice with placenta accrete

et al. 2019

View full text Add to dashboard Cite

Placenta accreta is one of the most severe anomalies of attachment, due to the high risk of massive bleeding. At present, the paradigm of organ-preserving delivery is laid. The implementation of this tactic is possible in the context of the introduction into the obstetric practice of patient blood management (PBM).Objective:to evaluate the effectiveness of blood preservation methods in the management and delivery of pregnant women with placenta placenta accrete.Materials and methods:The study group consisted of 59 pregnant women with placenta accreta in age from 20 to 40 years old (32,43 ± 5,05), who were examined in «Scientific Medical Research Center of Obstetrics”. Clinical, special (ultrasound and magnetic pelvic magnetic resonance imaging) and laboratory methods were used. A program of preparation for delivery was developed using the principles of the PBM: treating anemia at the preoperative stage; a multidisciplinary operating team was prepared (two obstetricians, a surgeon, anesthesiologist and resuscitator, anesthetist, transfusionist, physician, who provides work for Cell Saver, laboratory assistant). Operational tactics included a bottom cesarean section using one of the methods of surgical prevention and arrest of bleeding - bilateral ligation of the internal iliac arteries (1st group) (19 women), temporary stop of blood flow in common iliac artery by means of vascular clamps Satinsky (18 patients – 2ndgroup); bilateral overlay of turnstile harnesses on the base of the wide ligaments and the cervical-neck area, supplemented by a controlled balloon tamponade of the uterus (22 patients – 3rd d group). The operation was carried out under conditions of intraoperative reinfusion of autoerythrocytes on the apparatus “Cell-Saver 5”, donor FFP and erythrocyte component, tranexam preparations, rFVIIa (KoagilVII) were administered. In 80% of women, operations were performed under combined spinal-epidural anesthesia.Results:the lowest blood loss was detected in the 3rd group with compression complex hemostasis: 1286 ± 510 ml. Accordingly, the volumes of infusion and transfusion therapy were also the smallest in this group. The volume of reinfused autoerythrocytes ranged from 260 ml to 1420 ml and averaged 801,7 ± 414,18 ml with a hematocrit of 55-60%. Donor erythrocytes were transfused to only 27 patients in an average volume of 785,1 ± 134,2 ml. rFVIIa (Koagil) was administered to four patients: three from the first group and one from the second group: a significant decrease in the speed and volume of bleeding was noted, and he performed an organ-sparing operation. Hysterectomy was performed on five women (8,77%). In the postoperative period was carried out antianemic therapy. The hospital stay averaged 7,9 ± 1,8 days.Conclusion:The special role in the management and delivery of pregnant with placenta accreta plays the use of various PBM techniques , which include rational therapy of preoperative and postoperative anemia with modern iron preparations, rational surgical tactics, red blood cell autotransfusion, use of modern hemostatic agents and blood substitutes. A comprehensive multidisciplinary approach to this problem allows reducing blood loss, minimizing the volume of donor blood components and implementing organ-preserving tactics in a significant number of women.

show abstract

“…Placenta Percreta is a rare condition where the placenta passes through the myometrium and can invade surrounding adjacent organs. Due to the high possibility of massive blood loss and high surgical risk, it is generally required that a c-section is followed by a hysterectomy [5,6]. This condition can increase the rate of morbidity such as infection, organ injuries, venous thromboembolism and complications related to massive blood transfusion [7].…”

Section: Case Reportmentioning

confidence: 99%

Extensive Hemorrhage during C-section of a Placenta Percreta with Bladder Invasion - Case Report

Nunes¹

2015

Obstet Gynecol Cases Rev

View full text Add to dashboard Cite

A case of placenta percreta with massive hemorrhage during cesarean section

Cited by 14 publications

References 18 publications

Counseling in fetal medicine: evidence‐based answers to clinical questions on morbidly adherent placenta

Counseling in fetal medicine: evidence‐based answers to clinical questions on morbidly adherent placenta

Patient’s blood management in obstetric practice with placenta accrete

Extensive Hemorrhage during C-section of a Placenta Percreta with Bladder Invasion - Case Report

Contact Info

Product

Resources

About