A new surgical technique "cervical internal os plasty" in cesarean delivery for placenta previa accreta: A case-control study

Medicine
Guiqiong HuangShu Zhou

Abstract

Placenta previa accreta is an obstetrical complication that severely affects the heath of the fetus and the mother due to massive hemorrhage during pregnancy. This study reported a new suture technique called "cervical internal os plasty" to control obstetrical hemorrhage in cesarean delivery for patients with placenta previa accreta and retrospectively evaluated the safety and effectiveness of the new technique.From January 2012 to May 2018, we collected 56 patients with this new suture technique, which repaired the damaged weak area with bleeding from the placental attachment site in the lower uterine segment, and restored the damaged anatomic internal os of the cervix. Meanwhile, we compared it with 60 cases with other conservative methods described by other obstetricians with the same qualifications. The perioperative outcomes (blood loss, blood transfusion, operative time, other applied medical technology, and so on) between the 2 groups were recorded in this report.There were no significant differences between 2 groups among age, gravidity, parity, gestational age, and previous dilatation and curettage techniques (P > .05). Of the patients with placenta previa accrete, 77.6% (90/116) had previous dilatation and curettage....Continue Reading

References

Oct 20, 2005·Acta Obstetricia Et Gynecologica Scandinavica·Kati OjalaAydin Tekay
Oct 24, 2007·AJR. American Journal of Roentgenology·Cher Heng TanBien Soo Tan
Aug 5, 2008·Journal of Perinatal Medicine·Shigeki MatsubaraMitsuaki Suzuki
Oct 20, 2009·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·E El-HamamyC B-Lynch
May 14, 2011·Acta Obstetricia Et Gynecologica Scandinavica·José Miguel Palacios-Jaraquemada
May 21, 2011·Cardiovascular and Interventional Radiology·Francisco Cesar CarnevaleMarcelo Zugaib
May 31, 2012·Obstetrics and Gynecology International·Gali Garmi, Raed Salim
Jan 7, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Guiqiong HuangYayi Hu
Feb 26, 2014·Journal of Perinatal Medicine·Maximilian Klar, Karin B Michels
May 24, 2015·Obstetrics and Gynecology Clinics of North America·Robert M Silver, Kelli D Barbour

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Methods Mentioned

BETA
hysterectomy
cesarean section

Software Mentioned

SPSS

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