scholarly journals Incisión Fúndica Uterina con Histerectomía y Ligadura de Arterias Hipogástricas para manejo de Placenta Previa con Acretismo: A propósito de un caso.

2019 ◽  
Vol 30 (2) ◽  
Author(s):  
Yajaira Belalcázar
Keyword(s):  
Caesarean Section ◽  
Blood Transfusion ◽  
Clinical Case ◽  
Placenta Previa ◽  
Intensive Therapy ◽  
Hypogastric Artery ◽  
Third Trimester ◽  
Artery Ligation ◽  
The Third ◽  
Risk Of Hemorrhage

The placenta previa with acretism is a pathology with high morbimortality that can be diagnosed in the third trimester of pregnancy by image, which allows to program its resolution by caesarean section. A clinical case of a 40-year-old female patient presenting a 36.5-week pregnancy with total occlusive placenta with signs of accretion determined by ultrasound and resonance is presented, considering the risk of hemorrhage, a caesarean section was scheduled by means of a uterine fundal incision and at the placenta is not spontaneously detached, bilateral hypogastric artery ligation and obstetric hysterectomy are performed. This surgery is performed without complications or the need for blood transfusion or admission of the patient to intensive therapy.

scholarly journals Uterine torsion of 90 degrees: case report

2020 ◽  
Vol 9 (4) ◽  
pp. 1743
Author(s):  
S. Tanouti ◽  
M. Chakri ◽  
H. Taheri ◽  
H. Saadi ◽  
A. Mimouni
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Third Trimester ◽  
Singleton Pregnancy ◽  
The Third ◽  
Emergency Caesarean ◽  
Uterine Torsion ◽  
Vaginal Deliveries ◽  
Obstetrical Unit

Uterine torsion is defined as a rotation of uterus more than 45 degrees along its long axis. However, a pathologic rotation of the uterus beyond 45 degrees-torsion of the entire uterus-is rarely seen in obstetrical practice, authors report a case of torsion of the uterus by 90 degrees. The patient, a 30-year-old gravida 3 para 2 at 37 weeks’ gestation with a singleton pregnancy, her prior obstetrical history included two uncomplicated term vaginal deliveries, and the current pregnancy had been uncomplicated until the date of presentation was admitted to the obstetrical unit  with  labour at 37 weeks 5 days ,on obstetric examination the patient was in labour with transversal presentation of the fetus so an emergency caesarean section (CS) was carried out for. At the time of CS, the diagnosis of uterine torsion of 90 degrees was made. After the delivery of the baby, uterus returned to anatomical position and the torsion corrected spontaneously. The patient recovered and was discharged home with her baby on the third postoperative day. Uterine torsion is an infrequently reported and potentially dangerous complication of pregnancy that occurs mainly in the third trimester.

scholarly journals An elective combined caesarean section and small bowel GIST resection during the third trimester of pregnancy: Report of a case

2013 ◽  
Vol 4 (1) ◽  
pp. 121-124 ◽  
Author(s):  
N. Haloob ◽  
A.A.P. Slesser ◽  
A.R. Haloob ◽  
F. Khan ◽  
G. Bostanci ◽  
...  
Keyword(s):  
Small Bowel ◽  
Caesarean Section ◽  
Third Trimester ◽  
The Third

scholarly journals Adjunctive intrauterine Foley’s Catheter Balloon adding to hypogastric artery ligation in the conservative management of morbid adherent placenta previa

2018 ◽  
Vol 7 (6) ◽  
pp. 2093
Author(s):  
Hany F. Sallam ◽  
Nahla W. Shady
Keyword(s):  
Blood Loss ◽  
Placenta Previa ◽  
Hypogastric Artery ◽  
Artery Ligation ◽  
Cesarean Hysterectomy ◽  
Adherent Placenta ◽  
Group I ◽  
Estimated Blood Loss ◽  
Group Ii ◽  
Foley’S Catheter

Background: Objective of present study was to demonstrate the efficacy of Foley’s catheters balloon tamponade as an adjuvant to control blood loss during and after a caesarian section in patient undergone hypogastric artery ligation (HAL) due to morbid adherent placenta previa (MAPP).Methods: A single-center retrospective case-control clinical trial was carried out in a tertiary university hospital between March 2015 and March 2018, 124 women were undergoing cesarean delivery for MAPP, were managed conservatively either with HAL or HAL plus inflated Intrauterine Foley’s Catheter Balloon to control post-partum hemorrhage secondary to MAPP. In the case of conservative treatment protocol failure, cesarean hysterectomy was performed.Results: 124 women were enrolled (n=62 in each group). group of women received HAL plus Intrauterine Foley’s Catheter Balloon (group II)) showed a significant reduction in intraoperative and 4 hours post-operative blood loss compared with (Group I) which received HAL without Intrauterine Foley’s Catheter Balloon. (P = 0.0001,0.0.015), so the overall estimated blood loss in group II showed significant reduction compared with group I (P = 0.0001).Conclusions: Adjunctive intrauterine Foley's catheter balloon adding to HAL ligation in the management of MAPP is a novel combination approach have proved to be effective to control of intraoperative and PPH and to preserve the uterus as possible and change in the concept of MAPP management always mandates hysterectomy. And may become an alternative valid option to planned cesarean-hysterectomy in well-selected cases who have a strong desire for future fertility.

A Sonographic Assessment of Different Patterns of Placenta Previa ???Migration??? in the Third Trimester of Pregnancy

2005 ◽  
Vol 60 (12) ◽  
pp. 783-785
Author(s):  
Mladen Predanic ◽  
Sriram C. Perni ◽  
Rebeccca N. Baergen ◽  
Claudel Jean-Pierre ◽  
Stephen T. Chasen ◽  
...  
Keyword(s):  
Placenta Previa ◽  
Third Trimester ◽  
The Third ◽  
Sonographic Assessment

scholarly journals Evaluation of Parameters that Influence Morbidity in Peripartum Hysterectomy

2015 ◽  
Vol 9 (3) ◽  
pp. 234-238
Author(s):  
Panos Antsaklis ◽  
George Daskalakis ◽  
Vasilios Pergialiotis ◽  
Alexandros Rodolakis ◽  
George Vlachos ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Obstet Gynecol ◽  
Postoperative Morbidity ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Maternity Hospital ◽  
Artery Ligation ◽  
Peripartum Hysterectomy ◽  
Evaluation Of Parameters ◽  
Perioperative Blood Transfusion

ABSTRACT Objective To evaluate which factors affect the intraoperative and postoperative morbidity in cases of peripartum hysterectomy. Study design A retrospective study of all cases of peripartum hysterectomy performed during a 5-year period (January 2008–June 2013) in a tertiary maternity hospital. Results A total of 22,437 deliveries were reviewed and 63 cases of peripartum hysterectomy (2.8/1000) were identified. The indications for peripartum hysterectomy included: uterine atony (10 cases—15.9%), placenta accreta (21 cases—33.3%), placenta previa (30 cases—47.6%) and cervical pregnancy (2 cases—3.2%). Significantly higher rates of perioperative blood transfusion were noted in the emergency cases group, compared to the elective hysterectomies. Hypogastric artery ligation did not have any significant impact on the outcome. Preoperative bilateral ureteral catheterization was associated with lower need for blood transfusion (p < 0.001), and with less complications, although this was not statistically significant. Conclusion Maternal morbidity is significantly higher in emergency cases of peripartum hysterectomies compared to expected-planned cases. How to cite this article Daskalakis G, Antsaklis P, PergialiotisV, Rodolakis A, Vlachos G, Loutradis D, Papantoniou N. Evaluation of Parameters that Influence Morbidity Peripartum Hysterectomy. Donald School J Ultrasound Obstet Gynecol 2015;9(3):234-238.

scholarly journals The bleeding mother and her baby: a study to determine the fetomaternal outcome in cases of placenta previa

2020 ◽  
Vol 9 (9) ◽  
pp. 3775
Author(s):  
Preeti Frank Lewis ◽  
Sana Tarannum Bijapur ◽  
Deepika Gurnani
Keyword(s):  
Risk Factors ◽  
Blood Transfusion ◽  
Uterine Artery ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Previous History ◽  
Fetal Outcome ◽  
Care Hospital ◽  
Artery Ligation ◽  
Uterine Artery Ligation

Background: Placenta previa is one of the major causes for obstetric hemorrhagic morbidity and mortality with increasing incidence in recent times. This study aims at determining risk factors, maternal and fetal outcome associated with placenta previa.Methods: This was an observational, retrospective study conducted at a tertiary care hospital in Mumbai from May 2017 to March 2020. A total of 102 women with placenta previa during the study period were included, their case records critically analyzed to identify risk factors, maternal outcome in relation with blood transfusion required, ICU admission, obstetric hysterectomy and fetal outcome pertaining to prematurity, asphyxia and mortality.Results: A total of 102 patients were analyzed. Placenta previa was more common in >26 years of age, multipara (64.7%), with previous history of caesarean sections (21.5%) and previous curettage (11.7%), 44.2% babies born were preterm, 4.4% stillbirths and 8.5% neonatal deaths. Maternal complications like antepartum hemorrhage was seen in 58.8% patients and postpartum hemorrhage in 33.3%, blood transfusion was required in only 18 patients post operatively, bladder rent was seen in 3 patients and there was no maternal mortality. 44 patients required uterine artery ligation, Ashok Anand stitch was taken in 37 patients, uterus compression sutures in 10, obstetric hysterectomy in 7 patients and internal iliac artery ligation in 2 patients.Conclusions: Early identification of women at risk, obstetric preparedness and simple techniques like uterine artery ligation, Ashok Anand stitch and uterine compression sutures can help in effectively reducing need for multiple blood transfusions and morbidity.

scholarly journals Clinical case of peripartum cardiomyopathy in the third trimester of pregnancy

The Clinician ◽  
2019 ◽  
Vol 12 (3-4) ◽  
pp. 45-50
Author(s):  
V. A. Fomina ◽  
O. V. Evsina ◽  
E. A. Glazkova ◽  
V. S. Agafonova ◽  
K. A. Tkachenko
Keyword(s):  
Clinical Case ◽  
Peripartum Cardiomyopathy ◽  
Third Trimester ◽  
The Third

A Sonographic Assessment of Different Patterns of Placenta Previa “Migration” in the Third Trimester of Pregnancy

2005 ◽  
Vol 24 (6) ◽  
pp. 773-780 ◽  
Author(s):  
Mladen Predanic ◽  
Sriram C. Perni ◽  
Rebecca N. Baergen ◽  
Claudel Jean-Pierre ◽  
Stephen T. Chasen ◽  
...  
Keyword(s):  
Placenta Previa ◽  
Third Trimester ◽  
The Third ◽  
Sonographic Assessment

scholarly journals Case with a Nonreassuring Fetal Status Induced by Massive Hematemesis due to Mallory-Weiss Tear That Required Emergency Cesarean Section at 38 Weeks’ Gestation

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Takashi Suzuki ◽  
Maiko Wagata ◽  
Hiroko Konno ◽  
Takahiro Ito ◽  
Yuichi Torii ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Cesarean Section ◽  
Rare Case ◽  
Hemoglobin Level ◽  
Endoscopic Hemostasis ◽  
Third Trimester ◽  
Emergency Cesarean Section ◽  
The Third ◽  
Emergency Cesarean ◽  
Massive Hematemesis

We describe a rare case of Mallory-Weiss tear with massive hematemesis at 38 weeks’ gestation. A 35-year-old woman presented with epigastralgia followed by massive hematemesis. An emergency endoscopy indicated active pulsatile bleeding at the esophagocardial junction. Although an emergency endoscopic hemostasis was successful, late decelerations without acceleration on cardiotocogram were observed. Therefore, the patient underwent emergency cesarean section, along with blood transfusion, following the endoscopic hemostasis. The hemoglobin level just before the operation was 5.1 g/dL. We suspected that massive hematemesis induced maternal acute anemia and hypovolemia, which resulted in a nonreassuring fetal status. Hence, urgent endoscopic hemostasis, adequate blood transfusion, and emergency cesarean section were needed. Mallory-Weiss tear during the third trimester may have a possibility of massive hematemesis and urgent blood transfusion, emergency endoscopic hemostasis, and emergency cesarean section may be needed.

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