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Published online: 2020-12-28
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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

Seyhun Sucu, Hüseyin Çağlayan Özcan, Özge Kömürcü Karuserci, Çağdaş Demiroğlu, Neslihan Bayramoğlu Tepe, Muhammed Hanifi Bademkıran
DOI: 10.5603/GP.a2020.0145
·
Pubmed: 33448009

open access

Ahead of Print
ORIGINAL PAPERS Obstetrics
Published online: 2020-12-28

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

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Keywords

blunt dissection technique; cesarean hysterectomy; internal iliac artery ligation; placenta percreta

About this article
Title

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

Ginekologia Polska

Issue

Ahead of Print

Article type

Research paper

Published online

2020-12-28

DOI

10.5603/GP.a2020.0145

Pubmed

33448009

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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