Harran Üniversitesi Tıp Fakültesi Dergisi 1304-9623 1309-4025 Harran University İki adet morbid yapışık plasentalı olguda konservatif tedavi Conservative management of two cases of morbidly adherent placenta Hilali Nese Incebiyik Adnan Camuzcuoglu Aysun Vural Mehmet Kocarslan Sezen Karakaş Ekrem Yuce Hasan Husnu Camuzcuoglu Hakan 12 15 2014 11 3 304 308 10 01 2013 10 25 2013 Copyright © 2004, Journal of Harran University Medical Faculty 2004 Journal of Harran University Medical Faculty

Plasenta perkratada konservatif tedavi uygulanan iki olgu sunuldu. Kliniğimizde plasenta perkrata tanısıkonan iki olguya konservatif tedavi uygulandı. İlk olguda kanamadan dolayı tedavide istenilen başarı eldeedilemedi. İkinci olguda; abdominal orta hat ve uterin fundusda klasik insizyon, internal iliak arterligasyonu, profilaktik geniş spektrumlu antibiyotik kullanımı, menstruel siklus supresyonu, human koryonikgonadotropin seviyesinde hızlı düşüş trendi elde edene kadar metotreksat uygulaması ve plasental atılımgerçekleşene kadar hastanın haftalık izlemi ile başarılı bir sonuç elde edildi. Hemodinamik olarak stabil vefertilite isteği olan plasenta perkrata olgularında konservatif yaklaşım daha uygun bir seçenek olabilir.

To present two cases of placenta percreta which were treated with conservative management in our clinic.Two cases of retained placenta percreta are presented. Treatment was failed in the first case because ofhaemorrhage. The second one was treated successfully with the procedures which consisted of caesareansection with midline abdominal and classic incision in the uterine fundus, internal iliac artery ligation,prophylactic broad-spectrum antibiotic treatment, suppression of menstrual cycle, use of methotrexate untilthe achievement of rapid downtrend of human chorionic gonadotropin, and monitoring the patient untilspontan expulsion or resorbtion of placenta. It may be better to treat the cases of placenta percreta withconservative management, if the patients are hemodynamically stable and desirable for future fertility.

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