Grossesse sur cicatrice de césarienne : traitement combiné avec embolisation des artères utérines avant procédure chirurgicale

Gall, Jean‐Yves Le; Fichez, A.; Lamblin, G.; Philip, Charles-André; Huissoud, Cyril

doi:10.1016/j.gyobfe.2015.01.015

Cited by 10 publications

(3 citation statements)

References 35 publications

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“…Hemorrhage is defined as an estimated blood loss volume of > 500 mL or bleeding requiring a transfusion. It occurs in approximately 0.82 cases per 100000 abortions ( 6 8 ). When initial conservative methods fail, hemorrhage can lead to hysterectomy in approximately 1.1–1.4 cases per 10000 abortions ( 2 9 ).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Prophylactic Uterine Artery Embolization before Obstetrical Procedures with High Risk for Massive Bleeding

Shin

et al. 2017

Korean J Radiol

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ObjectiveTo evaluate the safety and efficacy of prophylactic uterine artery embolization (UAE) before obstetrical procedures with high risk for massive bleeding.Materials and MethodsA retrospective review of 29 female patients who underwent prophylactic UAE from June 2009 to February 2014 was performed. Indications for prophylactic UAE were as follows: dilatation and curettage (D&C) associated with ectopic pregnancy (cesarean scar pregnancy, n = 9; cervical pregnancy, n = 6), termination of pregnancy with abnormal placentation (placenta previa, n = 8), D&C for retained placenta with vascularity (n = 5), and D&C for suspected gestational trophoblastic disease (n = 1). Their medical records were reviewed to evaluate the safety and efficacy of UAE.ResultsAll women received successful bilateral prophylactic UAE followed by D&C with preservation of the uterus. In all patients, UAE followed by obstetrical procedure prevented significant vaginal bleeding on gynecologic examination. There was no major complication related to UAE. Vaginal spotting continued for 3 months in three cases. Although oligomenorrhea continued for six months in one patient, normal menstruation resumed in all patients afterwards. During follow-up, four had subsequent successful natural pregnancies. Spontaneous abortion occurred in one of them during the first trimester.ConclusionProphylactic UAE before an obstetrical procedure in patients with high risk of bleeding or symptomatic bleeding may be a safe and effective way to manage or prevent serious bleeding, especially for women who wish to preserve their fertility.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Prophylactic Uterine Artery Embolization before Obstetrical Procedures with High Risk for Massive Bleeding

Shin

et al. 2017

Korean J Radiol

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“…Bunlar dilatasyon ve küretaj (D&C), lokal veya sistemik metotreksat (Mtx) uygulaması, laparotomi, laparoskopi veya histeroskopi ile trofoblastik dokunun çıkarılması ve uterin arter embolizasyonudur. 1,4 Bu çalışmada, son bir yılda kliniğimize başvuran SSG'li hastaların tanı ve tedavi yönetimleri sunulmuştur.…”

Section: Son Bir Yılda Harran üNiversitesiunclassified

“…Tedavi seçenekleri içerisinde D&C, lokal veya sistemik Mtx uygulaması, laparotomi, laparoskopi veya histeroskopi ile trofoblastik dokunun çıkarılması ve uterin arter embolizasyonu bulunmaktadır. 1,4 Standart bir tedavi yöntemi olmadığından hastanın kliniğine göre tedavi uygulanmaktadır. Hasta hemodinamik açıdan stabil değilse laparotomi ya da laparoskopi ile wedge rezeksiyon yapılmalıdır.…”

Section: Bulgularunclassified

The Management of Cesarean Scar Pregnancies Those Referred to Harran University Obstetrics and Gynecology Clinic at the Last Year

Uyanıkoğlu¹,

Hilali²,

Incebiyik³

et al. 2015

Turkiye Klinikleri J Gynecol Obst

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Comparing the Efficacy and Safety of High-Intensity Focused Ultrasound and Uterine Artery Embolization in Caesarean Scar Pregnancy: A Meta-analysis

Xiao

Feng

et al. 2019

Adv Ther

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Grossesse sur cicatrice de césarienne : traitement combiné avec embolisation des artères utérines avant procédure chirurgicale

Cited by 10 publications

References 35 publications

Efficacy of Prophylactic Uterine Artery Embolization before Obstetrical Procedures with High Risk for Massive Bleeding

Efficacy of Prophylactic Uterine Artery Embolization before Obstetrical Procedures with High Risk for Massive Bleeding

The Management of Cesarean Scar Pregnancies Those Referred to Harran University Obstetrics and Gynecology Clinic at the Last Year

Comparing the Efficacy and Safety of High-Intensity Focused Ultrasound and Uterine Artery Embolization in Caesarean Scar Pregnancy: A Meta-analysis

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