Conservative management of post-partum hemorrhage secondary to placenta previa-accreta with hypogastric artery ligation and endo-uterine hemostatic suture

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dc.authoridMELEKOGLU, RAUF/0000-0001-7113-6691;
dc.authorwosidMELEKOGLU, RAUF/AAF-1614-2019
dc.authorwosidBuyukkurt, Selim/E-6388-2018
dc.contributor.authorRauf, Melekoglu
dc.contributor.authorEbru, Celik
dc.contributor.authorSevil, Eraslan
dc.contributor.authorSelim, Buyukkurt
dc.date.accessioned2024-08-04T20:42:52Z
dc.date.available2024-08-04T20:42:52Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAimThe aim of this study was to investigate maternal and neonatal outcomes of conservative management of post-partum hemorrhage due to placenta previa-accreta using hypogastric artery ligation and endo-uterine hemostatic suture to lower uterine segment. MethodsThe records of 38 patients who were managed conservatively with hypogastric artery ligation and endo-uterine hemostatic suture to control post-partum hemorrhage secondary to placenta previa-accreta between April 2014 and January 2016, were reviewed retrospectively. Placenta previa-accreta was diagnosed according to gray-scale, color and 3-D power Doppler ultrasonography in addition to the intraoperative findings based on fragmentary or difficult separation of the placenta. In the case of conservative treatment protocol failure, cesarean hysterectomy was performed. ResultsOf these patients, 55.2% were between 25 and 35 years old; 97.5% were multiparous; 71.2% had two or more previous cesarean section and 68.5% had preterm delivery. Women with placenta accreta had a median estimated blood loss of 450 mL; 57.8% of patients had blood transfusion (mean intraoperative transfusion, 2 units packed red blood cells; range, 0-9 units). Median duration of operation was 112.5 min (range, 45-305 min) and 32 patients (84.3%) with placenta accreta did not undergo cesarean hysterectomy. ConclusionConservative treatment of post-partum hemorrhage secondary to placenta previa-accreta with hypogastric artery ligation and endo-uterine hemostatic sutures to the lower segment of the uterus is associated with lower hysterectomy rate compared with the other conservative methods reported in the literature.en_US
dc.identifier.doi10.1111/jog.13215
dc.identifier.endpage271en_US
dc.identifier.issn1341-8076
dc.identifier.issn1447-0756
dc.identifier.issue2en_US
dc.identifier.pmid27987348en_US
dc.identifier.scopus2-s2.0-85006961474en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage265en_US
dc.identifier.urihttps://doi.org/10.1111/jog.13215
dc.identifier.urihttps://hdl.handle.net/11616/97641
dc.identifier.volume43en_US
dc.identifier.wosWOS:000394675900003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal of Obstetrics and Gynaecology Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectiliac arteryen_US
dc.subjectligationen_US
dc.subjectplacenta accretaen_US
dc.subjectplacenta previaen_US
dc.subjectpost-partum hemorrhageen_US
dc.titleConservative management of post-partum hemorrhage secondary to placenta previa-accreta with hypogastric artery ligation and endo-uterine hemostatic sutureen_US
dc.typeArticleen_US

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