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Multicenter Study
. 2015 Feb;94(7):e529.
doi: 10.1097/MD.0000000000000529.

A comprehensive surgical procedure in conservative management of placenta accreta: a case series

Sefa Kelekci  1 , Emre Ekmekci, Serpil Aydogmus, Servet Gencdal
Affiliations
Multicenter Study

A comprehensive surgical procedure in conservative management of placenta accreta: a case series

Sefa Kelekci et al. Medicine (Baltimore). 2015 Feb.

Abstract

We aimed to present a combined surgical procedure in conservative treatment of placenta accreta based on surgical outcomes in our cohort of patients. The study was designed as a prospective cohort series study. The setting involved two education and research hospitals in Turkey. This study included 12 patients with placenta accreta who were prenatally diagnosed and managed. We offered the patients the choice of conservative or nonconservative treatment. We then offered 2 choices for patients who had preferred conservative treatment, leaving the placenta in situ as is the classical procedure, or our surgical procedure. One patient preferred nonconservative treatment, the others opted for our procedure.We evaluated demographic and obstetric characteristics of patients, sonographic and operative parameters of patients, and surgical outcomes. We operated on 11 patients using this surgical procedure that we have developed for placenta accreta cases. We found that there was no need for hysterectomy in any patient, and we preserved the uterus for all of these patients. No patient presented any septic complication or secondary vaginal bleeding.Our surgical procedure seems to be effective and useful in the conservative treatment of placenta accreta.

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Conflict of interest statement

The authors have no funding and conflicts of interest to disclose.

Figures

FIGURE 1
FIGURE 1
Lacunar vascular areas in placenta.
FIGURE 2
FIGURE 2
Wide lacunar areas by power Doppler sonography.
FIGURE 3
FIGURE 3
Invasive placenta in coronal section MRI. MRI = magnetic resonance imaging.
See this image and copyright information in PMC

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