Academic Journal
Outcome of Transient Hypogastric Artery Balloon Occlusion with Cesarean Hysterectomy in Abnormal Adherent Placenta: Case Series
| العنوان: | Outcome of Transient Hypogastric Artery Balloon Occlusion with Cesarean Hysterectomy in Abnormal Adherent Placenta: Case Series |
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| المؤلفون: | Keerati Hongsakul, Jitwadee Suwanlee, Sorracha Rookkapan, Kittipitch Bannangkoon, Ninlapa Pruksanusak, Yuthasak Suphasynth, Shafie Abdullah, Chandran Nadarajan |
| المصدر: | Journal of Health Science and Medical Research (JHSMR), Vol 37, Iss 4, Pp 289-296 (2019) |
| بيانات النشر: | Prince of Songkla University, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | adherent placenta, cesarean hysterectomy, hypogastric artery, transient balloon occlusion, Medicine |
| الوصف: | Objective: To evaluate the outcome of pregnant women with abnormal placentation who underwent transient hypogastric artery balloon occlusion with cesarean hysterectomy. Material and Methods: Descriptive retrospective study of patients with abnormal adherent placenta who underwent transient hypogastric artery balloon occlusion with cesarean hysterectomy between January 2014 and December 2016. Data were recorded and analyzed. Results: Fourteen pregnant women with abnormal placentation were included in our series. Most patients underwent cesarean hysterectomy at less than 37 weeks of gestational age. The sonograms of 7 cases overestimated the severity of placenta adherence compared with the pathological diagnosis. The median estimated blood loss was 4,350 milliliters (mL). The median estimated blood loss in placenta accrete, increta and percreta were 3,000 mL, 5,337 mL and 5,150 mL, respectively. One case had a procedure-related complication: perforation of the small branch of the anterior division of the right hypogastric artery from the guidewire. Conclusion: Intraoperative transient balloon occlusion of the hypogastric arteries was an effective method and safe treatment for controlling the massive intraoperative bleeding of cesarean hysterectomy. This technique can be an alternative option in combination with surgery in cases of abnormal placental adherence. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2586-9981 2630-0559 |
| Relation: | https://www.jhsmr.org/index.php/jhsmr/article/view/63; https://doaj.org/toc/2586-9981; https://doaj.org/toc/2630-0559 |
| DOI: | 10.31584/jhsmr.201963 |
| URL الوصول: | https://doaj.org/article/8a5e63e01aa346af804e642b51d69959 |
| رقم الانضمام: | edsdoj.8a5e63e01aa346af804e642b51d69959 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 25869981 26300559 |
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| DOI: | 10.31584/jhsmr.201963 |