Hernández SF, Tinoco TL, Huerta JLT, Domínguez CLG

Language: Spanish
References: 23
Page: 214-220
PDF size: 187.48 Kb.

ABSTRACT

Objective: To present a new surgical alternative to reduce obstetric hemorrhage in cases of placenta previa-accreta, by means of temporary impingement at the hypogastric arteries, prior to the performance of caesarean-hysterectomy. Material and methods: Seven patients who attended pregnancy control were managed in a third-level care private institution, in whom obstetric ultrasound detected placenta previa accreta, and collecting demographic, clinical and diagnostic data. Results: On average, the gestational age at which the cesarean section-hysterectomy was performed was at 35 weeks with variation between weeks 34.5 and 37; in terms of intraoperative bleeding, in five cases it was 200 mL, one case with 150 mL and one case with 800 mL; surgical times varied from 90 to 106 minutes. In all cases, live products were obtained with Apgar and Silverman-Anderson assessment within the normal ranges; for all patients the hospital stay was two days. Conclusions: Temporary clamping of the hypogastric arteries, prior to caesarean-hysterectomy, shows usefulness in the resolution of cases with placental accreta.

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