Author/Authors :
SIMSEK, Mehmet Firat University - School of Medicine - Department of Obstetrics and Gynecology, Turkey , ATILGAN, Remzi Firat University - Faculty of Medicine - Department of Obstetrics and Gynecology, Turkey , ORAK, Ugur Firat University - Faculty of Medicine - Department of Obstetrics and Gynecology, Turkey , KAVAK, Salih Burcin Firat University - Faculty of Medicine - Department of Obstetrics and Gynecology, Turkey , OZKAN, Zehra Sema Firat University - School of Medicine - Department of Obstetrics and Gynecology, Turkey , DEMIREL, Ismail Firat University - Faculty of Medicine - Department of Anesthesiology and Reanimation, Turkey , ARTAS, Hakan Firat University - Faculty of Medicine - Department of Radiology, Turkey , SAPMAZ, Ekrem Firat University - Faculty of Medicine - Department of Obstetrics and Gynecology, Turkey
Abstract :
Objective: Conservative management of cases detected with placental invasion anomaly. Material and Method: Analysis of the clinical characteristics of the cases, diagnosed with placental invasion anomalies, treated in our hospital. Results: A total of ten patients diagnosed with placental invasion anomaly during two years period. Seven cases were placenta accreta and three cases were placenta percreta. The mean estimated blood loss and blood transfusion amount were 1950 (±646) mL and 5.7 (±3.8) units respectively. While in seven cases, Bakri balloon application controlled postpartum hemorrhage (PPH); but one case needed uterine artery ligation and the other one case needed B-lynch suturation + uterine artery ligation in addition to Bakri balloon application. In the remaining one case, hemorrhage was controlled by application of square sutures+ condom combined foley catheter tamponade + Affronti sutures. While none of the cases, where only uterine balloon tamponade (UBT) is applied, required hysterectomy, but the case received B-lynch suturation + uterine artery ligation required urgent hysterectomy due to coagulopathy. None of our cases experienced postpartum infection, mortality and pelvic organ injury. Conclusion: In conservative management of the patients diagnosed with placental invasion anomaly, use of UBT is effective for providing hemorrhage control and protection of fertility.
