Two Cases With Partial Cystectomy Due To The Bladder Invasion Because Of Placenta Previa Percreta

Yıl 2013, Cilt: 2 Sayı: 3, 410 - 417, 01.07.2013

Bülent Çakmak Doğan Atılgan Bekir Süha Parlaktaş Reşid Doğan Köseoğlu Zeki Özsoy Mehmet Can Nacar Fazlı Demirtürk

Öz

Placenta previapercreta is a placenta adhesionanomaly that significantlyincreases maternal morbidityand mortality. In this paper,two cases ofplacenta previapercreta were aimed to present with the literature.Two patientswere referred to our clinic because of previous cesarean section and placenta previa. Preoperativeevaluation ofpatientsdiagnosedplacenta previapercreta. Because of severebleedingduring the operationand placentalinvasion ofthe bladder,cesareanhysterectomy andpartial cystectomy was performed. There was no problem for patientsafter postoperative 45 daysevaluation. In cases ofplacenta previapercreta, maternal mortalitycan be reduced by adequate preoperative evaluation and a multidisciplinaryapproach.

Anahtar Kelimeler

Placenta Previa Percreta, Partial Cystectomy, Multidisciplinary Approach

Mesane İnvazyonu Nedeniyle Parsiyel Sistektomi Yapılan İki Plasenta Previa Perkreta Olgusu

Öz

Plasenta previa perkreta, maternal morbidite ve mortaliteyi belirgin bir şekilde artıran plasenta yapışma anomalisidir. Bu yazıda plasenta previa perkreta olan iki olgunun literatür eşliğinde sunulması amaçlanmıştır. Geçirilmiş sezaryen ve plasenta previa olması nedeniyle iki olgu kliniğimize refere edildi. Preoperatif değerlendirmede plasenta previa perkreta saptanan olgulara operasyon esnasında çok fazla kanamalarının olması ve plasentanın mesaneye invazyon göstermesi nedeniyle sezaryen histerektomi ve parsiyel sistektomi uygulandı. Postoperatif 45. gün değerlendirilen olguların her hangi bir sorunu olmadığı görüldü. Plasenta previa perkreta olgularında, yeterli preoperatif hazırlık ve multidisipliner yaklaşımla maternal mortalite oranları azaltılabilir.

Anahtar Kelimeler

Plasenta Previa Perkreta, Parsiyel Sistektomi, Multidisipliner Yaklaşım

Kaynakça

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