Placenta percreta – an obstetrician's nightmare

Mohan, Praveen; Bajwa, Sukhwinder Kaur; Sharma, Siddhartha; Kaur, Parwinder

doi:10.4038/sljog.v32i2.3978

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…13 In a case report of a case of placenta percreta by Mohan P et al had subtotal obstetric hysterectomy done for the case of placenta percreta and intraoperative blood loss was approximately 3.3 litres which was replaced with transfusion of 8 units of whole blood, 3 units of fresh frozen plasma and 2 units of platelet concentrates during the per-operative and postoperative period. 14 Morbid adhesion of placenta should be suspected even in women without any risk factors when there is postpartum hemorrhage and the same should be ruled by performing an immediate Ultrasonogram.…”

Section: Discussionmentioning

confidence: 99%

A case series on conservative management in pregnancies with abnormal placentation in obstetrics: placenta accrete, increta and percreta

Tasneem

Shanbhag

2018

Int J Reprod Contracept Obstet Gynecol

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Adherent placenta is one of the important causes of post- partum hemorrhage. Placenta accreta-related pathologies are an increasing contributor to maternal death from hemorrhage. With the rising caesarean delivery rate the incidence of placenta accreta has significantly increased. Morbidly adherent placenta (MAP) occurs when there is a defect in the decidua basalis, resulting in an abnormal invasion of the placenta into the substance of the uterus. A multidisciplinary approach is relevant in managing these patients in order to reduce morbidity and mortality associated with morbidly adherent placenta. A non-surgical conservative method is to leave the placenta in situ to reabsorb and institute treatment with chemotherapeutic agents, such as methotrexate. With improvement in the medical services conservative management for adherent placenta has gained significance.

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Section: Discussionmentioning

confidence: 99%

A case series on conservative management in pregnancies with abnormal placentation in obstetrics: placenta accrete, increta and percreta

Tasneem

Shanbhag

2018

Int J Reprod Contracept Obstet Gynecol

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“…Patients with PAS disorders are associated with an increased rate of maternal morbidity and mortality, including massive blood transfusion, cystotomy, postpartum infection, peripartum hysterectomy, prolonged hospital stay, intensive care unit (ICU) admission, and even death [ 5 – 8 ]. PAS disorders are significant life-threatening issues due to the increased incidence, morbidity, and mortality, and it is called “obstetrician's nightmare” among obstetricians [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

A Novel Approach for Conservative Management of Placenta Accreta Spectrum Disorder Cases: Experience of a Single Surgeon

Yalınkaya,

Oğlak

2024

Journal of Pregnancy

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Background: This study is aimed at evaluating the conservative surgical treatment of patients with placenta accreta spectrum (PAS) disorder and at presenting the experience of a single surgeon.Materials and Methods: This retrospective study included 245 patients with placenta previa accompanied by PAS disorders operated at a university hospital between June 2013 and December 2023. The diagnosis of PAS was made by a single perinatologist using a combination of transvaginal and transabdominal ultrasonography. All patients were operated with conservative surgical technique by the same surgeon. The demographic and clinical characteristics of the patients, the anesthesia and incision types used, and the details of the surgical technique were evaluated.Results: Of the patients, 165 were operated on at the scheduled time, 80 were operated on under emergency conditions, and 232 (94.69%) of them were operated on under spinal anesthesia. All patients were operated on with a Pfannenstiel incision followed by a transverse incision to the upper border of the placenta to enter into the uterus. An average of 0.52 units of red blood cells per patient was transfused to all patients. Spontaneous intra‐abdominal bleeding developed in five patients, and surgical complications occurred in eight patients. No cesarean hysterectomy was performed, and no maternal mortality was detected in any of the cases. The mean time duration of surgery was 54.44 ± 11.37 (30–90) min, and the mean length of hospital stay was 1.71 ± 1.30 (1–9) days.Conclusions: We recommend this procedure as a novel technique and a robust and safe alternative to peripartum hysterectomy and other conservative surgical management procedures for cases with complete PP accompanied with PAS. This technique preserves the uterus as well as reduces blood loss, and transfusion requirement, and thus maternal morbidity and mortality in PAS cases.

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“…Placenta accreta (PA) is an obstetrician's nightmare [1] because of massive life threatening hemorrhage and cesarean hysterectomy (CH) is the only recommended resort in such circumstances to save a woman's life. The incidence of placenta accrete is rising rapidly because of rising cesarean delivery rate.…”

Section: Introductionmentioning

confidence: 99%

Novel Technique for Cesarean Hysterectomy for Placenta Accreta - A Review

Aggarwal¹

2017

OAJG

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The incidences of placenta accreta are rising rapidly and at present Cesarean hysterectomy is the only accepted method for management. Because of neovascularisation and placental invasion there is always a risk of severe life threatening intraoperative hemorrhage during dissection of bladder flap. Inspite of well planned multidisciplinary approach the morbidity is still very high. To overcome these complications many surgeons have tried with newer techniques of cesarean hysterectomy. The aim of this review to find out the novel and newer method of cesarean hysterectomy.

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Placenta percreta – an obstetrician's nightmare

Cited by 5 publications

References 7 publications

A case series on conservative management in pregnancies with abnormal placentation in obstetrics: placenta accrete, increta and percreta

A case series on conservative management in pregnancies with abnormal placentation in obstetrics: placenta accrete, increta and percreta

A Novel Approach for Conservative Management of Placenta Accreta Spectrum Disorder Cases: Experience of a Single Surgeon

Novel Technique for Cesarean Hysterectomy for Placenta Accreta - A Review

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