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Federación Mexicana de Ginecología y Obstetricia, A.C.

2019, Number 01

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Ginecol Obstet Mex 2019; 87 (01)

Advanced integral vascular surgical technique (AIVS) applied in patients with placenta previa adhered abnormally with in situ fetus

Villegas-Cisneros A, Ortega-Montoya C, García-López A

Language: Spanish
References: 29
Page: 36-45
PDF size: 560.09 Kb.


ABSTRACT

Objective: To describe the advanced integral vascular surgical technique (AIVS) applied in patients with placenta previa adhered abnormally with in situ fetus.
Materials and Methods: Prospective and descriptive study presenting a series of cases, carried out in patients with abnormally attached placenta previa to whom the advanced integral vascular surgical technique was applied, attended at the Hospital of Specialties of the Child and the Woman of Querétaro, and Hospital Maternal Celaya, between January and June 2017. Using descriptive statistics of central tendency, maternal variables were analyzed such as: maternal age, gestational age at the time of the interruption of the obstetric event, time and estimated surgical bleeding, hemoglobin concentration and pre and post hematocrit postsurgical patients who required "biosurgery", admission to obstetric intensive care unit and intrahospital stay; perinatal variables: Capurro at birth, neonatal weight, Apgar score and umbilical cord blood gas.
Results: 16 patients were registered. All the patients were operated on in a single surgical event, with no need for reoperation, with average surgical bleeding objecti- fied with pre- and postoperative hemoglobin, without indication of admission to the Obstetric Intensive Care Unit, with adequate postoperative evolution and perinatal outcomes without associated neonatal morbidity.
Conclusion: The advanced integral vascular surgical technique (AIVS) is a safe, accessible, affordable and available technique, having to integrate a properly organized medical surgical team.


REFERENCES

  1. Mehrabadi A, et al. Contribution of placenta accreta to the incidence of postpartum hemorrhage and severe postpartum hemorrhage. Obstet Gynecol 2015;125:814- 21. doi:10.1097/AOG.0000000000000722

  2. Khong YT. The pathology of placenta accreta, a worldwide epidemic. J Clin Pathol 2008 61: 1243-6. doi: 10.1136/ jcp.2008.055202

  3. Knight M, et al. Trends in postpartum hemorrhage in high resource countries: a review and recommendations from the International Postpartum Hemorrhage Collaborative Group. BMC Pregnancy Childbirth 2009; 9:55. doi:10.1186/1471-2393-9-55

  4. The American College of Obstetricians and Gynecologists. Practice Bulletin. Critical Care in Pregnancy. Number 158, January 2016. doi:10.1097/AOG.0000000000001701

  5. Castelazo-Morales E, Monzalbo-Núñez DE, López-Rioja MJ, Castelazo-Alatorre S. Acretismo placentario, una de las repercusiones de la obstetricia moderna. Ginecol Obstet Mex 2013; 81:525-29.

  6. Shamshirsaz AA, et al. Maternal morbidity in patients with morbidly adherent placenta treated with and without a standardized multidisciplinary approach. Am J Obstet Gynecol 2015; 212:218.e1-9. doi:10.1016/j.ajog.2014.08.019

  7. García LA. Ligadura Arterias Hipogástricas Técnica GALA. Ed. Especial 25 aniversario. Impulsora y Salud; 2017.

  8. Wu S, et al. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 2005; 192:1458-1461. doi:10.1016/j. ajog.2004.12.074

  9. Fernández-Lara JA, Toro-Ortiz JC, Martínez-Trejo Z, De la Maza-Labastida S, Villegas-Arias MA. Tasa de hemorragia, histerectomía obstétrica y muerte materna relacionada. Ginecol Obstet Mex 2017;52(4):247-53.

  10. Wright JD, et al. Predictors of massive blood loss in women with placenta accreta. Am J Obstet Gynecol. 2011; 205:38. e1-6. doi:10.1016/j.ajog.2011.01.040

  11. Lee SJ, Shepherd MS. Endovascular Treatment of Postpartum Hemorrhage. Clin Obstet Gynecol 2015; 53(1)209-218. doi: 10.1097/GRF.0b013e3181ce09f5

  12. Belfort MA, Shamshiraz AA, Fox K. Minimizing blood loss at cesarean-hysterectomy for placenta previa percreta. Am J Obstet Gynecol 2017; 216:78.e1-2 doi: 10.1016/j. ajog.2016.10.030

  13. Shakur H, et al. WOMEN Trial Collaborative Group. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMEN): an international, randomised, double-blind, placebo-controlled trial. Lancet 2017; 389: 2105-16. doi: 10.1016/S0140-6736(17)30638-4.

  14. Ekelund K, et al. Hemostatic resuscitation in postpartum hemorrhage – a supplement to surgery. Acta Obstet Gynecol Scand. 2015; 94(7):680-92. doi:10.1111/aogs.12607

  15. Wysham WZ, et al. Use of topical hemostatic agents in gynecologic surgery. Obstet Gynecol Surv. 2014; 69(9):557- 63. doi:10.1097/OGX.0000000000000106.

  16. Chung JP, Leung TY. Uses of Floseal in obstetric hemorrhage: Case series and literature review. Taiwan J Obstet Gynecol. 2017;56(6):827-30. doi: 10.1016/j.tjog.2017.10.022

  17. Vintzileos MA, et al. Using ultrasound in clinical management of placental implantation abnormalities. Am J Obstet Gynecol October 2015: S70-77. doi:10.1016/j. ajog.2015.05.059

  18. Cho, et al. Diagnosis of placenta accreta by uterine artery doppler velocimetry in patiens with placenta previa. J Ultrasound Med 2015; 34: 1571-75. doi: 10.7863/ultra. 15.14.08039

  19. Jaraquemada JMP, Bruno CH. Magnetic resonance imaging in 300 cases of placenta accreta: surgical correlation of new findings. Acta Obstet Gynecol Scand 2005; 84:716-24. doi:10.1111/j.0001-6349.2005.00832.x

  20. Haghenbeck-Altamirano FJ, et al. Diagnóstico antenatal de acretismo-percretismo placentario. Ginecol Obstet Mex 2013; 81:259-71.

  21. Tovbin J, et al. Prediction of morbidly adherent placenta using a scoring system. Ultrasound Obstet Gynecol. 2016; 48 (4):504-10. doi:10.1002/uog.15813.

  22. Wright JD, et al. Morbidity and mortality of peripartum hysterectomy. Obstet Gynecol. 2010; 115:1187-1193. doi:10.1097/AOG.0b013e3181df94fb.

  23. Eller AG, et al. Maternal morbidity in cases of placenta accreta managed by a multidisciplinary care team compared with standard obstetric care. Obstet Gynecol. 2011; 117:331-7. PMID: 21309195

  24. Vahanian SA, et al. Placental implantation abnormalities and risk of preterm delivery: a systematic review and metaanalysis. Am J Obstet Gynecol. 2015; 213 (4 Suppl):S78-90. doi:10.1016/j.ajog.2015.05.058

  25. Burchell RC. Physiology of internal iliac artery ligation. J Obstet Gyneacol Br Commonw 1968; 75(6): 642-51. PMID: 5659060

  26. Sziller I, et al. Hypogastric artery ligation for severe hemorrhage in obstetric patients. J Perinat Med. 2007; 35(3): 187-92. doi:10.1515/JPM.2007.049

  27. Papp Z, et al. Bilateral hypogastric artery ligation for control of pelvic hemorrhage, reduction of blood flow and preservation of reproductive potential. Experience with 117 cases. Orv Hetil 2005; 146 (24): 1279-85. PMID:16025996

  28. Silver RM. Placenta accreta syndrome. Series in maternalfetal medicine. Ed. Taylor & Francis Group 2017. http:// lccn.loc.gov/2016044635

  29. Palacios-Jaraquemada JM. Placental Adhesive Disorders. Vol. 1. Hot Topics in Perinatal Medicine. Ed De Gruyter; 2012.




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