Surgical Excision of Placenta with Lower Uterine Segment as a Conservative Management in a Case of Placenta Accreta: A Case Report

• 作者: Ahmed Sherif Abdel Hamid Abdel Wahab Mohamed Mohamed Yaseen
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: PLACENTA Accreta CONSERVATIVE Management ELLIPTICAL INCISION CYSTOSTOMY
• 年，卷（期）: 2018,（1）
• 页码范围: 63-68
• 页数: 6页
• 分类号: R73

摘要

Introduction: Placenta accreta is due to invasive placental implantation. It is diagnosed when there is failure of delivery of a retained placenta. This is usually complicated by massive intrapartum hemorrhage that ends by hysterectomy. Case: We report a case of conservative management in a case of placenta accreta involving an elliptical shape incision of the lower segment with removal of placenta with underlying lower uterine segment in a stable patient desiring future fertility. Conclusion: Conservative management may be valid in carefully selected cases of placenta accreta diagnosed pre-operatively in tertiary hospitals with availability of blood-bank and multi-disciplinary approach.