Procedural contrivances for cesarean hysterectomy for placenta accreta spectrum: To perform or not to perform hysterectomy for percreta with parametrial invasion

2021 ◽  
Author(s):  
Shigeki Matsubara
Keyword(s):  
Placenta Accreta ◽  
Cesarean Hysterectomy ◽  
Parametrial Invasion ◽  
Placenta Accreta Spectrum

scholarly journals When is the ideal time to remove cerclage in cases requiring cesarean hysterectomy for placenta accreta spectrum?

2019 ◽  
Vol 8 (4) ◽  
pp. 1668
Author(s):  
Futa Ito ◽  
Shinya Matsuzaki ◽  
Masayuki Endo ◽  
Tadashi Kimura
Keyword(s):  
Preterm Birth ◽  
Maternal Morbidity ◽  
Birth Rate ◽  
Placenta Accreta ◽  
Cervical Insufficiency ◽  
Short Cervix ◽  
Cesarean Hysterectomy ◽  
Preterm Birth Rate ◽  
Placenta Accreta Spectrum ◽  
The Ideal

Placenta accreta spectrum (PAS) presents one of the highest risks to pregnancy and often requires a cesarean hysterectomy for management, but the challenges associated with this surgery often cause severe obstetric haemorrhaging and high rates of maternal morbidity. Shirodkar cerclage is usually performed in cases with cervical insufficiency, a short cervix with previous preterm birth, etc., to decrease the preterm birth rate. It is recommended that Shirodkar cerclage is removed when the patient approaches term, but the ideal timing of removal for patient for whom cesarean hysterectomy is planned is not clear. Here, authors present a case of PAS in whom Shirodkar cerclage that was difficult to remove at the timing of cesarean hysterectomy. After cesarean hysterectomy, the patient had a vaginal abscess and required antibiotic therapy for approximately two weeks. In the light of our case, authors discuss the timing of removal of cerclage in the cases of PAS.

Proposal of a simple 2-hand technique at cesarean hysterectomy for placenta accreta spectrum

2021 ◽  
Author(s):  
Koji Matsuo ◽  
Heather Miller ◽  
Ernesto Licon ◽  
Nicole L. Vestal ◽  
Jennifer L. Sternberg ◽  
...  
Keyword(s):  
Placenta Accreta ◽  
Cesarean Hysterectomy ◽  
Placenta Accreta Spectrum

Conservative Management or Cesarean Hysterectomy for Placenta Accreta Spectrum: the PACCRETA Prospective Study

2021 ◽  
Author(s):  
Loïc Sentilhes ◽  
Aurélien Seco ◽  
Elie Azria ◽  
Gaël Beucher ◽  
Marie Pierre Bonnet ◽  
...  
Keyword(s):  
Prospective Study ◽  
Conservative Management ◽  
Placenta Accreta ◽  
Cesarean Hysterectomy ◽  
Placenta Accreta Spectrum

scholarly journals 369: Optimal timing of cesarean hysterectomy for women with placenta accreta spectrum

2019 ◽  
Vol 220 (1) ◽  
pp. S254-S255
Author(s):  
Rosa J. Speranza ◽  
Kimberley A. Bullard ◽  
James A. Sargent ◽  
Aaron B. Caughey
Keyword(s):  
Placenta Accreta ◽  
Optimal Timing ◽  
Cesarean Hysterectomy ◽  
Placenta Accreta Spectrum
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