THE MANAGEMENT STRATEGIES IN THE PLACENTA ACCRETA SPECTRUM IN TERTIARY CENTERS IN TURKIYE

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dc.authoridMELEKOGLU, RAUF/0000-0001-7113-6691
dc.authorwosidMELEKOGLU, RAUF/AAF-1614-2019
dc.contributor.authorBuyukkurt, Selim
dc.contributor.authorMelekoglu, Rauf
dc.contributor.authorHatipoglu, Irem
dc.date.accessioned2024-08-04T20:55:06Z
dc.date.available2024-08-04T20:55:06Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: To determine the differences and consensus points in managing patients with placenta accreta spectrum (PAS) disorder in a nationwide survey.Material and Method: Forty-seven items were asked via an online survey. Seventy-seven percent responded to the survey (37/48). Consensus/strong consensus was predefined as 75%-89% (28-33/37)/>90% (234/37) of panelists agreeing on an answer.Result: In a few areas, consensus or strong consensus was achieved. These are the absence of interventional radiology (89.2%) and cell-saver in the institution (94.6%), a rare selection of magnetic resonance (83.8%), and frequent use of transvaginal sonography (94.6%) as an adjuvant diagnostic tool. Penetrative sexual intercourse is prohibited (78.4%); perineal shaving (81.1%) and rectal enema (94.6%) are not used; general anesthesia (75.7%) is the preferred technique; hypothermia control (97.3%) is not omitted; and administration of oxytocin (75.7%) is similar to routine cesarean section; vascular injuries are managed by vascular surgeons (78.4%); gynecologic oncologists are not a regular part of the surgical team (86.5%); routine insertion of a central venous cannula (78.4%) is not considered and placement of an abdominal drain (89.2%) is usually performed. Surgery is often performed through a median abdominal incision (83.8%), and a total hysterectomy (81.1%) is chosen. Routine hypogastric artery ligation (91.9%) is not performed. In the postoperative period, the patients are allowed to have early mobilization (91.9%) and oral intake (83.8%). They are habitually discharged on the 3rd-4th postoperative day (75.7%). Psychiatric needs are often neglected (94.6%).Conclusion: These consensus points could help obstetricians manage this complicated condition. These results also demonstrate the need for evidence-based data for implementing proper treatment strategies for PAS disorder. Future research is sought for these points.en_US
dc.identifier.doi10.26650/IUITFD.1351897
dc.identifier.endpage53en_US
dc.identifier.issn1305-6441
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85185567932en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage43en_US
dc.identifier.urihttps://doi.org/10.26650/IUITFD.1351897
dc.identifier.urihttps://hdl.handle.net/11616/101833
dc.identifier.volume87en_US
dc.identifier.wosWOS:001146398000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherIstanbul Univ, Fac Medicine, Publ Offen_US
dc.relation.ispartofJournal of Istanbul Faculty of Medicine-Istanbul Tip Fakultesi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPerinatologyen_US
dc.subjectplacenta accretaen_US
dc.subjectpostpartum hemorrhageen_US
dc.subjectsurveys and questionnairesen_US
dc.titleTHE MANAGEMENT STRATEGIES IN THE PLACENTA ACCRETA SPECTRUM IN TERTIARY CENTERS IN TURKIYEen_US
dc.typeArticleen_US

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