Succesful Treatment With Acar Compression Sutures On Late Postpartum Hemorrhage Due To The Placenta Accreata; Case Report

Yıl 2016, Özel Sayı, 21 - 24, 01.06.2016

Ferdi Ercan Fatma Kılıç Hasan Berkan Sayal Damlanur Üstün Ali Acar

Öz

Placental adhesion disorders are the abnormal invasions of the placenta into the uterin wall.These disorders are examined in three groups;increata ,accreata and percreata.These conditions may lead to serious complications.In this case a patient presented with severe postpartum hemorrhage on the 17th day due to p.accreta was treated with a new suture technique Acar style compression suture .The patient had vaginal delivery in another center 17 days ago and referred to our center because of severe vaginal hemorrhage on 17th day of postpartum.In vaginal examination performed in the lithotomy position the servix was found approximately 2 cm open ,the cavity was examined under sterile conditions and approximately 3x4 cm adhesive tissue was palpeted in the anterior wall.Emergency laparotomy decision was made and histeretomy was performed. After the placental tissue was taken out, serious hemorrhage observed in the placental bad was controlled by placing the Acar style compression suture.

Anahtar Kelimeler

Late postpartum hemorrhage, uterine compression suture

Plasenta Akreata Nedeniyle Gelişen Geç Postpartum Kanama Tedavisinde Acar Usulü Kompresyon Sütürü ile Başarılı Tedavi; Olgu Sunumu

Öz

Plasenta yapışma anomalileri, plasentanın uterin duvar içine doğru anormal şekilde invaze olmasıdır. Plasenta akreata, inkreata ve perkreata olmak üzere 3 grupta incelenir. Burada plasenta akreata nedeniyle postpartum 17. günde başlayan ciddi postpartum kanamanın tedavisinde kullanılan yeni sütür tekniği Acar usulü kompresyon sütürü ile tedavi edilen bir olgu sunulmuştur. Hasta 17 gün önce dış merkezde vajinal doğum yapmış ve postpartum 17. günde gelişen abondan vajinal kanama nedeniyle kliniğimize sevk edilmiştir. Ultrason ve litotomi pozliyonunda yapılan jinekolojik muayenesinde kavitede uterus korpus ön duvarda yaklaşık olarak 3x4 cm boyutlarında uterusa dens olarak yapışmış doku palpe edilmiştir. Abondan vajinal kanaması olan hastaya laparotomi ve histerotomi yapılmış, çıkarılan plasental doku sonrası plasental yataktan gözlenen ciddi kanama Acar Usulü Kompresyon Sütürü konularak kontrol edilmiştir.

Anahtar Kelimeler

Geç postpartum kanama, uterin kompresyon sütürü

Kaynakça

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