Uterine sparing approaches in management of placenta accreta: a summarized review

Authors

  • Ali Hussein Department of Obstetrics and Gynecology, Woman's Health Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt
  • Ahmed A. Abdelaleem Department of Obstetrics and Gynecology, Woman's Health Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt
  • Ahmed M. Abbas Department of Obstetrics and Gynecology, Woman's Health Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt
  • Maher Salah Department of Obstetrics and Gynecology, Woman's Health Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20185451

Keywords:

Conservative, Hemorrhage, Maternal morbidity, Placenta accreta

Abstract

Placenta accreta is a potentially life-threatening obstetric condition that required multidisciplinary approach to management. Placenta accreta occurs in complete absence of the decidua basalis. Women with previous cesarean section delivery or placenta previa are known to be at greater risk of placenta accreta. A previous study reported that 24%& 67% increase in the incidence of placenta accreta in women 1 versus 3 or more previous cesarean deliveries respectively. Antenatal diagnosis of placental invasion has the potential to improve maternal and fetal outcomes. In practice, incomplete non-separation of the placenta at delivery leads to massive obstetric hemorrhage resulting in maternal morbidities such as massive blood transfusion, DIC, injury to the bladder and intestines and the need for hysterectomy. Sonographic examination with gray scale and color doppler imaging is the recommended first line modality for diagnosis of morbidly adherent placenta. Techniques developed for conservative management are techniques developed to preserve uterus and future fertility which is crucially linked to societal status and self-esteem.

References

Tan CH1, Tay KH, Sheah K, Kwek K, Wong K, Tan HK et al. Perioperative endovascular internal iliac artery occlusion balloon placement in management of placenta accreta. AJR Am J Roentgenol 2007;189(5):1158-63.

Timmermans S, van Hof AC and Duvekot JJ Conservative management of abnormally invasive placentation. Obstet Gynecol Surv 2007;62(8):529-39.

Courbière B1, Bretelle F, Porcu G, Gamerre M, Blanc B: Conservative treatment of placenta accreta. J Gynecol Obstet Biol Reprod (Paris) 2003;32(6):49-554.

Sentilhes L, Ambroselli C, Kayem G, Provansal M, Fernandez H, Perrotin F, et al. Maternal outcome after conservative treatment of placenta accreta. Obstet Gynecol 2010;115(3):526-34.

Roulot A, Barranger E, Morel O, Soyer P, Hequet D Two- and three- dimensional power Doppler ultrasound in the follow-up of placenta accreta treated conservatively. J Gynecol Obstet Biol Reprod.2015;44(2):176-83.

Fox KA, Shamshirsaz AA, Carusi D, Secord AA, Lee P, Turan OM, et al. Conservative management of morbidly adherent placenta: Expert Review. Am J Obstet Gynecol. 2015;213(6):755-60.

Clausen C, Lonn L, Langhoff-Roos J. Management of placenta percreta: a review of published cases. Acta Obstet Gynecol Scand.2014; 93(2):138-43.

Dilauro MD, Dason S, Athreya S. Prophylactic balloon occlusion of internal iliac arteries in women with placenta accreta: Literature review and analysis. Clin Radiol.2012;67(6):515-20.

D'Souza DL, Kingdom JC, Amsalem H, Beecroft JR, Windrim RC, Kachura JR. Conservative Management of Invasive Placenta Using Combined Prophylactic Internal Iliac Artery Balloon Occlusion and Immediate Postoperative Uterine Artery Embolization. Can Assoc Radiol J. 2015;66(2):179-84.

Butt K, Gagnon A and Delisle MF. Failure of methotrexate and internal iliac balloon catheterization to manage placenta percreta. Obstet Gynecol. 2002;99:981–2.

Bishop S1, Butler K, Monaghan S, Chan K, Murphy G, Edozien L. Multiple complications following the use of prophylactic internal iliac artery balloon catheterisation in a patient with placenta percreta. Int J Obstet Anesth. 2011;20(1):70-3.

Pliskow S, Dai X, Kohner A, Kapnick J. Conservative surgical management of placenta accreta: a report of 3 cases. J Reprod Med.2009; 4(10):636-8.

Chandraharan E. Should the Triple-P procedure be used as an alternative to peripartum hysterectomy in the surgical treatment of placenta percreta? Women’s Health.2012; 8(4):351-3.

Teixidor Vinas M, Belli A, Arulkumaran S, Chandraharan E. Prevention of postpartum hemorrhage and hysterectomy in patients with Morbidly Adherent Placenta: A cohort study comparing outcomes before and after introduction of the Triple-P procedure. Ultrasound Obstet Gynecol.2015;46(3):350-5.

AbdRabbo SA. Stepwise uterine de vascularization: a novel technique for management of uncontrolled postpartum hemorrhage with preservation of the uterus. AJOG. 1994;171(3):694-700.

Shehata A, Hussein N, El-Halwagy A, El Gergawy A: Could Simple Procedures Minimize Hysterectomy in Management of Placenta Accreta? Indian J Obstet Gynaecol Res.2015;2(4): 213-7.

Salvat J, Schmidt MH, Guilbert M, Martino A Vascular ligation for severe obstetrical hemorrhage: review of the literature. J Gynecol Obstet Biol Reprod (Paris).2002;(7):629-39.

Kelekci, Emre Ekmekci, Serpil Aydogmus, et al., (2015): A Comprehensive Surgical Procedure in Conservative Management of Placenta Accreta: A Case Series. Medicine) Baltimore).2015;94(7):e529.

Palacios-Jaraquemada JM. Buttock Necrosis and Paraplegia after Bilateral Internal Iliac Artery Embolization for Postpartum Hemorrhage. Obstet Gynecol.2012;120(5):1210.

Doumouchtsis SK, Papageorghiou AT, Arulkumaran S., Systematic review of conservative management of postpartum hemorrhage: what to do when medical treatment fails. Obstet Gynecol Surv. 2007;62(8):540-7.

Hwu YM, Chen CP, Chen HS, Su TH. Parallel vertical compression sutures: a technique to control bleeding from placenta praevia or accreta during caesarean section. BJOG.2005;112(10):1420- 3.

Makino S1, Tanaka T, Yorifuji T, Koshiishi T, Sugimura M, Takeda S. Double vertical compression sutures: A novel conservative approach to managing post-partum hemorrhage due to placenta previa and atonic bleeding. Aust NZJ Obstet Gynaecol 2012;52(3):290-2.

Shahin AY1, Farghaly TA, Mohamed SA, Shokry M, Abd-El-Aal DE, Youssef MA. Bilateral uterine artery ligation plus B-Lynch procedure for atonic postpartum hemorrhage with placenta accreta. Int J Gynaecol Obstet. 2010;108 (3):187-90.

Cho JH, Jun HS, Lee CN. Haemostatic suturing technique for uterine bleeding during cesarean delivery. Obstet Gynecol.2000;96(1):129-31.

Hayman RG, Arulkumaran S, Steer PJ, Uterine compression sutures: surgical management of postpartum hemorrhage. Obstet Gynecol.2002;99(3): 502-6.

Pereira A1, Nunes F, Pedroso S, Saraiva J, Retto H, Meirinho M, Compressive uterine sutures to treat postpartum bleeding secondary to uterine atony. Obstet Gynecol. 2005;106(3):569-72.

Bhal K, Bhal N, Mulik V, Shankar L. The uterine compression suture-a valuable approach to control major hemorrhage at lower segment caesarean section. J Obstet Gynaecol.2005;25(1):10-4.

Zhu L, Zhang Z, Wang H, Zhao J. Wue for hemorrhage during cesarean delivery complicated by complete placenta previa. Int J Gynaecol Obstet. 2015;129(1):26-9.

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Published

2018-12-26

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Review Articles