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A Comprehensive Surgical Procedure in Conservative Management of Placenta Accreta

机译:保守治疗胎盘植入的综合手术程序

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摘要

We aimed to present a combined surgical procedure in conservative treatment of placenta accreta based on surgical outcomes in our cohort of patients. The study was designed as a prospective cohort series study. The setting involved two education and research hospitals in Turkey. This study included 12 patients with placenta accreta who were prenatally diagnosed and managed.We offered the patients the choice of conservative or nonconservative treatment. We then offered 2 choices for patients who had preferred conservative treatment, leaving the placenta in situ as is the classical procedure, or our surgical procedure. One patient preferred nonconservative treatment, the others opted for our procedure.We evaluated demographic and obstetric characteristics of patients, sonographic and operative parameters of patients, and surgical outcomes.We operated on 11 patients using this surgical procedure that we have developed for placenta accreta cases. We found that there was no need for hysterectomy in any patient, and we preserved the uterus for all of these patients. No patient presented any septic complication or secondary vaginal bleeding.Our surgical procedure seems to be effective and useful in the conservative treatment of placenta accreta.
机译:我们旨在根据患者队列的手术结果,提出一种联合手术方法,以保守治疗胎盘增生。该研究被设计为前瞻性队列研究。设置涉及土耳其的两家教育和研究医院。本研究纳入了12例经产前诊断和处理的胎盘植入患者,我们为患者提供了保守治疗或非保守治疗的选择。然后,我们为偏爱保守治疗的患者提供了两种选择,这些患者可以像传统手术或外科手术一样将胎盘留在原位。一名患者选择了非保守治疗,其他患者选择了我们的手术方法。我们评估了患者的人口统计学和产科特征,患者的超声检查和手术参数以及手术结局。我们使用针对胎盘植入病例开发的这种手术方法对11例患者进行了手术。我们发现任何患者都无需进行子宫切除术,并且我们保留了所有这些患者的子宫。没有患者出现任何脓毒症并发症或继发性阴道出血。我们的外科手术似乎对保守治疗胎盘积聚有效且有用。

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