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Placenta percreta

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https://www.readbyqxmd.com/read/28640786/a-standardized-approach-for-transfusion-medicine-support-in-patients-with-morbidly-adherent-placenta
#1
Anil K Panigrahi, Amanda Yeaton-Massey, Sara Bakhtary, Jennifer Andrews, Deirdre J Lyell, Alexander J Butwick, Lawrence Tim Goodnough
BACKGROUND: The incidence of placenta accreta (PA) has increased from 0.8 to 3.0 in 1000 pregnancies, driven by increased rates of cesarean deliveries (32.2% in 2014) of births in the United States. The average blood loss for a delivery complicated by PA ranges from 2000 to 5000 mL, frequently requiring substantial transfusion medicine support. We report our own institutional multidisciplinary approach for managing such patients, along with transfusion medicine outcomes, in this setting over a 5-year period...
June 20, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28637369/segmental-resection-of-the-uterine-wall-for-placenta-previa-percreta-some-clarifications
#2
Shigeki Matsubara
No abstract text is available yet for this article.
June 21, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28631072/down-regulation-of-soluble-fms-like-tyrosine-kinase-1-expression-in-invasive-placentation
#3
Scott A Shainker, Katelyn Dannheim, Kristin D Gerson, Dayna Neo, Zsuzsanna K Zsengeller, Elizabeth Pernicone, S Ananth Karumanchi, Michele R Hacker, Jonathan L Hecht
PURPOSE: To confirm reduced expression of soluble fms-like tyrosine kinase 1 (sFlt-1) in accreta/increta. METHODS: Formalin-fixed tissue sections from 11 peripartum hysterectomies with invasive placentation and 5 controls were stained for sFlt-1. Stain intensity was scored in selected 100× microscopic fields. We compared sFlt-1 expression in invasive areas among cases, non-invasive areas among cases and areas from control placentas. RESULTS: Chorionic villi displayed significantly decreased sFlt-1 expression in invasive areas of cases compared to control placentas (p = 0...
June 19, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28600047/maternal-outcome-after-conservative-management-of-abnormally-invasive-placenta
#4
Hsiu-Wei Su, Yu-Chiao Yi, Jenn-Jhy Tseng, Wei-Chih Chen, Ya-Fang Chen, Hsiao-Fan Kung, Min-Min Chou
OBJECTIVE: The purpose of this study was to describe our preliminary experience of the efficacy and safety of a conservative strategy for abnormally invasive placenta. MATERIALS AND METHODS: A retrospective review of eight pregnant women with abnormally invasive placenta (one with placenta previa accrete, three with placenta previa increta, and four with previa percreta) was performed. The diagnosis was made by prenatal ultrasonography, and was confirmed by operative and histopathological findings...
June 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28599899/the-placenta-accreta-spectrum-pathophysiology-and-evidence-based-anatomy-for-prenatal-ultrasound-imaging
#5
REVIEW
Eric Jauniaux, Sally Collins, Graham J Burton
The placenta accreta spectrum (PAS) is a complex obstetric complication associated with a high maternal morbidity. It is a relatively new disorder of placentation, and is the consequence of damage to the endometrium-myometrial interface of the uterine wall. When first described 80 years ago, it mainly occurred after manual removal of the placenta, uterine curettage or endometritis. Superficial damage leads primarily to an abnormally adherent placenta, and is diagnosed as the complete or partial absence of the decidua on histology...
June 6, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28587491/local-uterine-resection-for-placenta-percreta-technical-details-are-important
#6
Shigeki Matsubara, Jose M Palacios Jaraquemada
No abstract text is available yet for this article.
June 7, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28557847/two-lives-one-reboa-hemorrhage-control-for-urgent-cesarean-hysterectomy-in-a-jehovah-s-witness-with-placenta-percreta
#7
Rachel M Russo, Eugenia Girda, Vanessa Kennedy, Misty D Humphries
V.
May 25, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28551762/prophylactic-occlusion-balloon-placement-in-internal-iliac-arteries-for-the-prevention-of-postpartum-haemorrhage-due-to-morbidly-adherent-placenta-short-term-outcomes
#8
Salvatore Alessio Angileri, Leto Mailli, Claudio Raspanti, Anna Maria Ierardi, Gianpaolo Carrafiello, Anna-Maria Belli
PURPOSE: To evaluate outcomes of uterine conserving surgery with occlusion balloon technique. A critical review of the complications was performed. MATERIALS AND METHODS: Between 2010 and 2016, pregnant women, with a prenatal diagnosis of morbidly adherent placenta (MAP), were treated with occlusion balloon catheters in both internal iliac arteries. Parameters such as need for hysterectomy, incidence of PPH, grade of MAP, estimated blood loss during delivery (EBL) and transfusion requirements, mean recovery time and duration of the balloon inflation, were collected and reviewed...
May 27, 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/28493300/timing-of-surgery-for-placenta-previa-with-suspected-abnormally-invasive-placentation-a-test-of-team-competency
#9
LETTER
Shigeki Matsubara, Hironori Takahashi, Daisuke Matsubara, Akihide Ohkuchi
No abstract text is available yet for this article.
May 10, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28487113/a-technique-to-positively-identify-the-vaginal-fornices-during-complicated-postpartum-hysterectomy
#10
Michael A Belfort, Alireza A Shamshirsaz, Karin A Fox
The frequency of cesarean hysterectomy is increasing, predominantly driven by an increased incidence of morbidly adherent placenta associated with previous cesarean delivery with or without placenta previa. Most cases of morbidly adherent placenta are located anteriorly with involvement of the bladder. The lower uterine segment in increta and percreta cases frequently is thinned and deformed, with extensive vascular supply to the bulging placenta. This deformation of the lower segment makes identification of the cervicovaginal interface and vaginal fornices difficult...
May 6, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28459723/aortoiliac-thrombosis-following-tranexamic-acid-administration-during-urgent-cesarean-hysterectomy-a-case-report
#11
Omar S Hajmurad, Ankeet A Choxi, Zahira Zahid, Roman Dudaryk
Postpartum hemorrhage (PPH) contributes to 25% of maternal deaths worldwide. Abnormal placentation is a well-known culprit of PPH. Although controversial, iliac artery balloon occlusion has been used in patients to decrease bleeding. The use of antifibrinolytic agents, such as tranexamic acid (TXA), have gained popularity in the management of PPH. We present a 35-year-old parturient with placenta percreta that was managed with internal iliac artery balloon occlusion with concomitant use of TXA during urgent cesarean hysterectomy with subsequent aortoiliac thrombosis formation...
April 28, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28449642/the-effectiveness-of-double-incision-technique-in-uterus-preserving-surgery-for-placenta-percreta
#12
Ibrahim Polat, Burak Yücel, Ali Gedikbasi, Halil Aslan, Aysun Fendal
BACKGROUND: Placenta percreta is a life-threatening condition that places patients at risk of massive bleeding. It necessitates very complicated surgery and can result in mortality. Caesarean hysterectomy is the accepted procedure worldwide; however, recent studies discussing conservative treatment with segmental resections have been published. Foetal extraction and segmental resection can be performed through the same incision (single uterine incision) or through two different incisions (double uterine incision)...
April 27, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28422862/prevalence-of-abnormally-invasive-placenta-among-deliveries-in-mainland-china-a-prisma-compliant-systematic-review-and-meta-analysis
#13
REVIEW
Dazhi Fan, Song Li, Shuzhen Wu, Wen Wang, Shaoxin Ye, Qing Xia, Li Liu, Jinping Feng, Song Wu, Xiaoling Guo, Zhengping Liu
BACKGROUND: Abnormally invasive placenta (AIP) or placenta accreta (PA) is considered numerous adverse maternal and fetal-neonatal complications. There has been no detailed study to characterize the prevalence of AIP among deliveries in mainland China. OBJECTIVES: We aimed to fill this gap and obtained overall and regional estimates of AIP prevalence via a systematic review and meta-analysis. METHODS: This systematic review and meta-analysis was totally performed following the Meta-analysis of Observational Studies in Epidemiology guidelines for systematic reviews of observational studies, and the Preferred Reporting Items for Systematic reviews and Meta-Analysis statement for reporting systematic reviews and meta-analysis...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28420498/intraoperative-aortic-balloon-occlusion-in-patients-with-placenta-previa-and-or-placenta-accreta-a-retrospective-study
#14
Fangyuan Luo, Lan Xie, Ping Xie, Siwei Liu, Yue Zhu
OBJECTIVE: To introduce the primary experience of using aortic balloon catheters during cesarean section for placenta previa and/or placenta accreta. MATERIALS AND METHODS: From January 2013 to May 2015, 43 patients who were preoperatively diagnosed with major placenta previa and/or placenta accreta and who underwent prophylactic aortic catheterization before caesarean section (CS) were included in the study. We analyzed the clinical data of the study population...
April 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28416845/-anesthetic-choice-for-patients-undergoing-cesarean-section-complicated-with-placenta-implantation
#15
Y Wang, H Zeng, X Y Guo, X Y Rong
OBJECTIVE: To investigate the anesthetic choice for patients undergoing cesarean section complicated with placenta implantation. METHODS: A retrospective case review of the patients with placenta implantation between 2008 and 2013 at Peking University Third Hospital was conducted in the International Classification of Diseases (ICD)-9 codes, excluding natural birth and not first diagnosed in our hospital, a total of 96 cases were incorporated into this study. According to the degree of implantation, they were divided into three groups: accreta group, increta group and percreta group...
April 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28403929/-conservative-placenta-percreta-management-using-uterine-arterial-embolization-procedure-a-series-of-12-cases
#16
C Hennetier, M Daudruy Brasseur, S Patrier, E Clavier, M L Thibault, E Verspyck
We report a retrospective series of 12 placentas percreta with bladder invasion and for which an expected initially multidisciplinary conservative surgical treatment associated with uterine artery embolization was programmed. Conservative surgical treatment was only performed in 7 women. Radical surgical treatment was necessary during the caesarean section and complicated by massive hemorrhage in three women and secondary in two other women for infectious diseases. Radical surgical treatment was associated with partial cystectomy complicated with urinary disorder sequelae in three women...
March 2017: Journal of gynecology obstetrics and human reproduction
https://www.readbyqxmd.com/read/28401537/effect-of-prophylactic-placement-of-internal-iliac-artery-balloon-catheters-on-outcomes-of-women-with-placenta-accreta-an-impact-study
#17
S Feng, Z Liao, H Huang
We performed an impact study on the introduction of routine placement of internal iliac artery balloon catheters for the management of haemorrhage during caesarean section in women with placenta accreta. We identified 11 women, with prenatally diagnosed placenta accreta/increta/percreta before this change in practice, who acted as controls, and 30 women who had iliac artery balloons placed. The balloons were inflated in 27 cases. The median (IQR [range]) intra-operative blood loss was 1100 (800-2600 [500-6000]) ml in controls, compared with 1000 (600-2513 [400-15000]) ml in women with iliac artery balloons (p = 0...
April 12, 2017: Anaesthesia
https://www.readbyqxmd.com/read/28400306/can-3-dimensional-power-doppler-indices-improve-the-prenatal-diagnosis%C3%A2-of-a-potentially-morbidly-adherent-placenta-in-patients-with%C3%A2-placenta-previa
#18
Ziad A Haidar, Ramesha Papanna, Baha M Sibai, Nina Tatevian, Oscar A Viteri, Patricia C Vowels, Sean C Blackwell, Kenneth J Moise
BACKGROUND: Traditionally, 2-dimensional ultrasound parameters have been used for the diagnosis of a suspected morbidly adherent placenta previa. More objective techniques have not been well studied yet. OBJECTIVE: The objective of the study was to determine the ability of prenatal 3-dimensional power Doppler analysis of flow and vascular indices to predict the morbidly adherent placenta objectively. STUDY DESIGN: A prospective cohort study was performed in women between 28 and 32 gestational weeks with known placenta previa...
April 9, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28379868/double-dilemma-management-of-a-pregnant-patient-with-a-difficult-airway-presenting-with-undiagnosed-placenta-percreta-a-case-report
#19
Yewande A Omowanile, Luke N Weiler, Jill M Mhyre, Faiza A Khan
Patients with abnormal placentation should undergo planned cesarean delivery with the option for hysterectomy based on severity. We report a case of a multigravida with a known difficult airway presenting for cesarean delivery. She was found to have an undiagnosed placenta percreta at the start of surgery after the epidural was placed. After team discussion, the procedure was aborted and rescheduled electively 2 days later under general anesthesia with preoperative placement of internal iliac artery balloon catheters...
April 4, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28364106/efficacy-of-temporary-ligation-of-infrarenal-abdominal-aorta-during-cesarean-section-in-pernicious-placenta-previa
#20
Shuangying Huang, Aibin Xia, Grace Jamail, Mailian Long, Chunxia Cheng
To evaluate the efficacy and safety of temporary loop ligation of the infrarenal abdominal aorta for control of intraoperative blood loss in patients with pernicious placenta previa.
 Methods: We retrospectively analyzed the clinical data of 14 patients with pernicious placenta previa, who underwent temporary loop ligation of the infrarenal abdominal aorta for control of blood loss during cesarean section between July 2013 and December 2014.
 Results: Eight patients received conservative management to preserve the uterus and 6 patients underwent cesarean hysterectomy...
March 28, 2017: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
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