2016, Number 04
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Ginecol Obstet Mex 2016; 84 (04)
Obstetric hysterectomy in patients with accreta, increta and percreta placentae: comparison of two surgical techniques
Ortiz-Villalobos RC, Bañuelos-Franco A, Serrano-Enriquez EF, Mejía-Mendoza ML, Laureano-Eugenio J
Language: Spanish
References: 15
Page: 209-216
PDF size: 344.37 Kb.
ABSTRACT
Objetive: To analyze the maternal-fetal surgical complications techniques
utilizing two obstetric hysterectomy in patients with placenta
accreta, increta or percreta, in the Hospital General de Occidente,
Jalisco, Mexico during the period 2011 to 2014.
Material and Methods: observational, descriptive, cross-sectional
study, analyzing maternal and fetal complications in all patients diagnosed
with placenta accreta, increta or percreta, intervened with two
surgical techniques obstetric hysterectomy, during the period January
2011 to December 2014, using clinical records to identify the study
variables. The data were analyzed on Epi-Info 7 calculating frequencies,
percentages, measures of central tendency and dispersion, also
resorting to the use of a hypothesis test for mean difference bleeding.
Results: There were 71 obstetric hysterectomies, 47.88% were identified
by placenta accreta, increta or percreta, of which 47.05% were
operated with modified technique (group 1) and 52.95% with the
conventional technique (group 2). The mean ages of the groups were
31.56 in group 1 and 29.44 in group 2. Statistically the bleeding with
the modified surgical technique it is less than the bleeding conventional
technique
Conclusions: The results serves two main purposes: to save the life
of the patient and cause the least amount of side morbidity are placental
problems, both the mother and the newborn, highlighting minor bleeding
from a technique to another.
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