Background: Placenta previa-accreta is associated with severe hemorrhage occurring while separating the placenta during cesarean delivery and hysterectomy is considered the treatment of choice. Conservative management has recently been proposed. Case: A 26-year-old woman had pregnancy complicated by placenta previa with suspected accreta. During elective cesarean section a prophylactic double bilateral ligation of uterine arteries was performed before removal of the placenta; subsequently, the continuous small bleeding from the placental bed was stopped by tamponade with a balloon catheter filled with saline solution. The patient was discharged 5 days later. An ultrasonographic color Doppler follow-up demonstrated a renewed uterine vascularization. Conclusion: Double bilateral ligation of uterine arteries can be used as a prophylactic surgical treatment when a severe bleeding because of placenta previa-accreta is expected, in order to avoid hysterectomy.

Ferrazzani, S., Guariglia, L., Triunfo, S., Caforio, L., Caruso, A., Conservative management of placenta previa-accreta by prophylactic uterine arteries ligation and uterine tamponade., <<FETAL DIAGNOSIS AND THERAPY>>, 2009; 2009;25(4) (Settembre): 400-403 [http://hdl.handle.net/10807/20830]

Conservative management of placenta previa-accreta by prophylactic uterine arteries ligation and uterine tamponade.

Ferrazzani, Sergio;Guariglia, Lorenzo;Triunfo, Stefania;Caforio, Leonardo;Caruso, Alessandro
2009

Abstract

Background: Placenta previa-accreta is associated with severe hemorrhage occurring while separating the placenta during cesarean delivery and hysterectomy is considered the treatment of choice. Conservative management has recently been proposed. Case: A 26-year-old woman had pregnancy complicated by placenta previa with suspected accreta. During elective cesarean section a prophylactic double bilateral ligation of uterine arteries was performed before removal of the placenta; subsequently, the continuous small bleeding from the placental bed was stopped by tamponade with a balloon catheter filled with saline solution. The patient was discharged 5 days later. An ultrasonographic color Doppler follow-up demonstrated a renewed uterine vascularization. Conclusion: Double bilateral ligation of uterine arteries can be used as a prophylactic surgical treatment when a severe bleeding because of placenta previa-accreta is expected, in order to avoid hysterectomy.
Inglese
Ferrazzani, S., Guariglia, L., Triunfo, S., Caforio, L., Caruso, A., Conservative management of placenta previa-accreta by prophylactic uterine arteries ligation and uterine tamponade., <>, 2009; 2009;25(4) (Settembre): 400-403 [http://hdl.handle.net/10807/20830]
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/20830
Citazioni
  • ???jsp.display-item.citation.pmc??? 4
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact