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Is there a role of prophylactic bilateral internal iliac artery ligation on reducing the bleeding during cesarean hysterectomy in patients with placenta percreta? A retrospective cohort study
, 1, 1, 2, 1, 3
Affiliations- Deparment of Obstetrics and Gynecology, Gaziantep Univercity, Medical Medicine, Turkey
- SANKO University, Gaziantep Gazi Muhtarpaşa Bulvarı, Gaziantep, Turkey
- Department of Obstetrics and Gynecology, Health Science University, Gazi Yasargil Education and Research Hospital, Diyarbakır, Turkey
open access
Abstract
Objectives: Our study aims to evaluate the effect of bilateral prophylactic internal iliac artery ligation (IIAL) on bleeding in patients with placenta percreta who undergo cesarean hysterectomy (CH) with the use of blunt dissection technique.
Material and methods: This retrospective cohort study included 96 patients with placenta percreta who underwent planned CH with using the blunt dissection technique to allow better vesico-uterine dissection at the gynecology and obstetrics unit of a university hospital between the years 2017–2019. We carried out bilateral IIAL before CH in the study group (group 1) while we performed only CH in the control group (group 2).
Results: Group 1 and Group 2 consisted of 50 and 46 patients; respectively. There was no statistical difference between the two groups as regards to the mean estimated blood loss, the mean transfused blood products, the mean operation time, and the number of complications. In total, 24 patients (25%) had complications with the finding that the most common one was bladder injury (16/96, 16,66%).
Conclusions: Routine bilateral prophylactic IIAL before CH in placenta percreta cases does not have a beneficial effect on decreasing the amount of bleeding and the amount blood transfusion
Abstract
Objectives: Our study aims to evaluate the effect of bilateral prophylactic internal iliac artery ligation (IIAL) on bleeding in patients with placenta percreta who undergo cesarean hysterectomy (CH) with the use of blunt dissection technique.
Material and methods: This retrospective cohort study included 96 patients with placenta percreta who underwent planned CH with using the blunt dissection technique to allow better vesico-uterine dissection at the gynecology and obstetrics unit of a university hospital between the years 2017–2019. We carried out bilateral IIAL before CH in the study group (group 1) while we performed only CH in the control group (group 2).
Results: Group 1 and Group 2 consisted of 50 and 46 patients; respectively. There was no statistical difference between the two groups as regards to the mean estimated blood loss, the mean transfused blood products, the mean operation time, and the number of complications. In total, 24 patients (25%) had complications with the finding that the most common one was bladder injury (16/96, 16,66%).
Conclusions: Routine bilateral prophylactic IIAL before CH in placenta percreta cases does not have a beneficial effect on decreasing the amount of bleeding and the amount blood transfusion
Keywords
blunt dissection technique; cesarean hysterectomy; internal iliac artery ligation; placenta percreta
About this articleTitle
Is there a role of prophylactic bilateral internal iliac artery ligation on reducing the bleeding during cesarean hysterectomy in patients with placenta percreta? A retrospective cohort study
Journal
Issue
Article type
Research paper
Pages
137-142
Published online
2020-12-28
Page views
1002
Article views/downloads
918
DOI
Pubmed
Bibliographic record
Ginekol Pol 2021;92(2):137-142.
Keywords
blunt dissection technique
cesarean hysterectomy
internal iliac artery ligation
placenta percreta
Authors
Seyhun Sucu
Hüseyin Çağlayan Özcan
Özge Kömürcü Karuserci
Çağdaş Demiroğlu
Neslihan Bayramoğlu Tepe
Muhammed Hanifi Bademkıran
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