HIV Testing in Pregnancy [11F]

Szlachta-McGinn, Alec; Aserlind, Alexandra; Babriwala, Ruchi; Senderoff, Dana; Taggart, Ashley; Maguire, Karla; Potter, JoNell

doi:10.1097/01.aog.0000483866.27485.00

Cited by 1 publication

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“…The incidence of PAS in the United States ranging from 1 in 272 pregnancies to 1 in 731 pregnancies [5].…”

Section: Introductionmentioning

confidence: 99%

Outcome of 17 patients undergoing Cesarean Hysterectomy by Cherney Incision for Placenta Accreta Spectrum: A CaseSeries

Holtzman,

Letchinger,

Flatow

et al. 2023

Preprint

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Introduction: The purpose of this study was to describe the use of Cherney Incisions as a skin incision for planned cesarean hysterectomy for placenta accreta spectrum at a single academic institution. Methods: This was a retrospective cohort study of all patients who underwent cesarean hysterectomy for PAS through a cherney incision. Patient clinicopathological and follow-up data were extracted from medical records. This data was then compared to all other patients who underwent cherney incision via different incision. The student’s t-test was used for continuous variables and Fisher’s exact test compared categorical variables. Continuous data were compared using the Wilcoxon-rank sum test. Results: There were 17 patients who had a planned cesarean hysterectomy for PAS at a single institution. Out of the 17 patients, 9 (52.9%) had an accreta, 6 (35.3%) had an increta and 2 (11.8%) had a percreta. The estimated blood loss was 1000cc with a range from 800cc to 3365cc. Six (33%) of patients received a transfusion, 2 (11.1%) had a complication which was found to be a bladder injury. Compared to patients undergoing cesarean hysterectomy via other incision types for PAS at our institution, there was a difference in median minutes of surgery (p = 0.041) but not from incision to delivery (p = 0.187). There was a difference in estimated blood loss, with patients undergoing chereny incision experiencing less blood loss compared to other incision types (p = 0.04) but this was not significant for receiving a transfusion (p > 0.05). All other outcomes for patients undergoing cherney incisions was similar to other patients delivered via cesarean hysterectomy for PAS. Conclusion: This is the first study examining cherney incisions for cesarean hysterectomy for PAS. Cherney incision is not inferior to other types of skin incisions for this procedure. Future studies should include a larger cohort to further characterize the maternal, fetal and surgical outcomes of cherney incisions for cesarean hysterectomy for PAS.

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“…The incidence of PAS in the United States ranging from 1 in 272 pregnancies to 1 in 731 pregnancies [5].…”

Section: Introductionmentioning

confidence: 99%