Surrounding resection technique for placenta percreta: A fertility preserving approach

Year 2017, , 180 - 182, 13.12.2017

Murat Ekin Cihan Kaya , Gülşen Akyıldız Levent Yaşar

https://doi.org/10.16948/zktipb.270306

Abstract

Placenta percreta is a life-threatening obstetric emergency
characterized by the abnormal invasion of chorionic villi into the uterine
wall.
It is associated with significant maternal morbidity and mortality. Although various
conservative treatment modalities have been described, hysterectomy is still a common
option as life saving procedure. In this case, surrounding resection technique with
hypogastric artery ligation is described as an option in selected cases who
desire fertility.

Keywords

fertility preservation, obstetric surgical procedure, placenta percreta

Plasenta perkretada çevresel rezeksiyon tekniği: bir fertilite koruyucu yaklaşım

Abstract

Giriş: Plasenta perkreta koryonik villusların uterin duvara anormal
invazyonu ile karakterize yaşamı tehdit eden bir obstetrik acildir. Her nekadar
çeşitli konservatif tedavi seçenekleri tanımlanmış olsa da, histerektomi hala yaygın
olarak hayat kurtarıcı bir seçenek olarak bulunmaktadır.

Olgu: Bu olguda, fertilite isteği olan seçilmiş olgularda hipogastrik
arter bağlanmasıyla birlikte çevresel rezeksiyon tekniği tanımlanmıştır.

Sonuç: Fokal plasenta perkretalı seçilmiş olgularda deneyimli bir
cerrahi ekibi tarafından çevresel rezeksiyon tekniği kullanılabilir.

Keywords

Fertilite koruma, obstetrik cerrahi prosedür, plasenta perkreta

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