DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20180001

Placenta percreta: a successful conservative outcome

Nigamananda Mishra, Devika Desai, Santoshi Prabhu, Vaishali Jadhav

Abstract


Placental adherent syndromes have been known to us since antiquity. These are very much common in the present era due to rising incidence of surgical evacuation of pregnancy, caesarean sections and hysterotomy. Thought to be due to abnormal trophoblastic invasion at the endo-myometrial junction along with vasculature leading to varying degrees of invasion and adherence, lastly including the pelvic organs. Morbidity and mortality associated with these have been an obstetrician’s nightmare and thus a good learning curve. Hence, knowing appropriate case selection and management in terms of early diagnosis, mode of delivery, dealing with obstetric emergencies and appropriate counseling has become the need of the hour. The focus being, conservative management and best perinatal outcome with least maternal morbidity

 


Keywords


Placenta percreta, Placental adherent syndromes, Placenta preavia

Full Text:

PDF

References


Canonico S, Arduini M, Epicoco G, Luzi G, Arena S, Clerici G, et al. Placenta previa percreta: a case report of successful management via conservative surgery. Case reports in obstetrics and gynecology. 2013;2013: 702067.

Aggarwal R, Suneja A, Vaid NB, Yadav P, Sharma A, Mishra K. Morbidly adherent placenta: a critical review. J Obstet Gynaecol India. 2012;62(1):57-61.

Goh WA, Zalud I. Placenta accreta: diagnosis, management and the molecular biology of the morbidly adherent placenta. J Matern Fetal Neonatal Med. 2016;29(11):1795-800.

Marcillac FD, Lecointre L, Guillaume A, Sananes N, Fritz G, Viville B, Boudier E, Nisand I, et al. Morbimortality maternal associated with conservative treatment of an abnormally adherent placenta (accreta) diagnosed prenatally. About a continuous series of 15 cases. J Gynecol Obstetr Biol Reprod. 2016;45(8):849-58.

Sawada M, Matsuzaki S, Mimura K, Kumasawa K, Endo M, Kimura T. Successful conservative management of placenta percreta: Investigation by serial magnetic resonance imaging of the clinical course and a literature review. J Obstet Gynaecol Res. 2016;42(12):1858-63.

Legendre G, Zoulovits FJ, Kinn J, Senthiles L, Fernandez H. Conservative management of placenta accreta: hysteroscopic resection of retained tissues. J Minimally Invasive Gynecol. 2014;21(5):910-3.

Çırpan T, Sanhal CY, Yücebilgin S, Özşener S. Conservative management of placenta previa percreta by leaving placental tissue in situ with arterial ligation and adjuvant methotrexate therapy. J Turkish German Gynecol Assoc. 2011;12(2):127.

Das SS, Devi LS, Singh LR, Singh R. Conservative management of placenta accreta with injection methotrexate to preserve fertility. J Med Soc. 2014;28(2):125.

Smith ZL, Sehgal SS, Van Arsdalen KN, Goldstein IS. Placenta percreta with invasion into the urinary bladder. Urol Case Reports. 2014;2(1):31-2.

Caliskan E, Vural B, Turkoz E, Tan O. Conservative surgical management of placenta percreta: two cases with an emphasis on tubal patency. Gynecol Surg. 2005;2(1):29-31.