Cesarean hysterectomy in a hybrid operating room for placenta percreta: a report of three cases View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-12

AUTHORS

Takashige Yamada, Eriko Hirahata, Naho Ihara, Daisuke Nishimura, Kei Inoue, Jungo Kato, Hiromasa Nagata, Shizuka Minamishima, Hiroshi Morisaki

ABSTRACT

Placenta percreta is the most severe abnormality in invasive placenta and often treated with cesarean hysterectomy. Endovascular embolization for placental abnormality is known to reduce bleeding from the placental bed and from the abnormal neovasculature surrounding the uterus. We describe three cases of placenta percreta treated with uninterrupted cesarean hysterectomy and embolization performed using a hybrid operating room (HOR). Cases were two placenta previa percretas and an impending uterine rupture with placenta percreta, treated with elective cesarean hysterectomy in HOR. Planned conversion of spinal to general anesthesia was performed after the fetal delivery. Immediate embolic devascularization of abnormal neovasculature was directly observed and facilitated adhesiolysis. Surgical blood losses were 1850 g, 2500 g, and 1180 g, respectively. Cesarean hysterectomy combined with endovascular embolization in the HOR for placenta percreta is an advantageous option to enhance patient safety by multidisciplinary approach without patient transfer. More... »

PAGES

9

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http://scigraph.springernature.com/pub.10.1186/s40981-019-0230-5

DOI

http://dx.doi.org/10.1186/s40981-019-0230-5

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https://app.dimensions.ai/details/publication/pub.1112092160


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