Evaluation Of Patients With Previous C/S + Plasenta Previa Totalis İn 2017

Yıl 2020, Cilt: 47 Sayı: 3, 630 - 637, 25.09.2020

Fatih Mehmet Findik Mehmet Sait Içen Senem Yaman Tunç Elif Ağaçayak Mehmet Siddik Evsen Ahmet Yalinkaya

https://doi.org/10.5798/dicletip.800011

Öz

Evaluation Of Patients With Previous C/S + Plasenta Previa Totalis İn 2017

Öz

Objective: In this study, it was aimed to transfer different aspects from the literature in the management of patients who applied to our hospital with the diagnosis of placenta previa in 2017.
Metods: Patients who were admitted to our hospital in 2017 with a diagnosis of PP and who had undergone at least one previous cesarean section were included in the study.
Results: A total of 110 patients with the diagnosis of PP underwent surgery. The mean age of the patients was 33.02 ± 5.1 years. Spinal anesthesia was applied to 94 (85.5%) patients. An abdominal Pfannenstiel incision was performed in 107 (97.3%) patients. A total of four (3.6%) patients underwent hysterectomy. A total of 95 (86.4%) patients had accrete.
Conclusion: In conclusion, caesarean hysterectomy is recommended in patients with PP, especially those with accreta, however, the number of conservative treatment options has increased in recent years. Conservative surgery, which is frequently used in our clinic, is a comfortable option for the patient, and uterine-preserving surgery is very important for the preservation of fertility.

Anahtar Kelimeler

placenta previa, uterine-preserving surgery, pfannenstiel incision

Kaynakça

• 1.Althabe F, Sosa C, Belizan JM, et al. Cesareansection rates and maternal and neonatal mortality inlow-, medium-, and high-income countries: anecological study. Birth. 2006; 33: 270-7.
• 2.Betran AP, Torloni MR, Zhang JJ, et al. WHOStatement on Caesarean Section Rates. BJOG. 2016;123: 667-70.
• 3.Evsen MS, Sak ME, Özkul Ö, et al. Acil peripartumhisterektomi. Dicle Tıp Dergisi. 2009; 36: 23-7.