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Abstract
The term "morbidly adherent placenta" has recently been introduced to describe the spectrum of disorders including placenta accreta, increta and percreta. Due to excessive invasion of the placenta into the uterus there is associated significant maternal morbidity and mortality. Most significant risk factors for morbidly adherent placenta include history of prior cesarean delivery as well as placenta previa in the current pregnancy. Ultrasound remains the gold standard for antenatal diagnosis, however, in recent years MRI has assisted in identifying complex parametrial involvement. Optimizing maternal and neonatal outcomes involves early prenatal diagnosis, a multi-disciplinary team-based approach, and referral to an experienced center.
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Affiliation(s)
- Whitney Booker
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University Medical Center, 622 West 168th Street, New York, NY 10032, United States.
| | - Leslie Moroz
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University Medical Center, 622 West 168th Street, New York, NY 10032, United States
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Takahashi H, Baba Y, Usui R, Suzuki H, Ohkuchi A, Matsubara S. Laterally-positioned placenta in placenta previa. J Matern Fetal Neonatal Med 2019; 33:2642-2648. [PMID: 30518276 DOI: 10.1080/14767058.2018.1556634] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objectives: To clarify perinatal outcomes of patients with placenta previa (PP) with the placenta mainly positioned in the lateral uterine wall (lateral PP), thereby clinically characterizing this condition.Study design: The retrospective cohort study was performed involving patients with lateral PP between January 2006 and December 2016. The placental position was determined and classified by magnetic resonance imaging.Results: This study included 98 patients with PP, which was classified into three types according to the main placental position sites: lateral (n = 30), anterior (n = 32), and posterior (n = 36) PP. Overall, the median blood loss at cesarean section (CS) was 1808 mL and transfusion was performed for 78 patients (80%). Univariate analysis showed that patients with lateral PP bled less at CS than those with non-lateral PP (anterior + posterior PP) [median 1510 (interquartile range 1080-2168) versus 1975 (1570-2860) mL: p=.02]. The other parameters including rates of conception by assisted reproductive technology, prior CS, antepartum bleeding, and placenta accreta spectrum did not show the significances. Among the three groups of PP (lateral versus anterior versus posterior), patients with lateral PP bled less than those with anterior (p=.05) or posterior (p=.13) PP, but this was nonsignificant [lateral 1510 (1080-2168) versus anterior 2145 (1580-3348) versus posterior 1808 (1533-2555) mL]. When dividing into lateral PP to two types: placenta showing anterior dominancy versus posterior dominancy, patients with lateral PP and anterior dominancy bled more those with posterior dominancy [2430 (1410-3400) versus 1170 (1050-1588) mL: p=.002].Conclusion: Patients with lateral PP bled significantly less than those with non-lateral (anterior or posterior) PP. Patients with lateral PP and anterior dominancy bled more than those with posterior dominancy.
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Affiliation(s)
- Hironori Takahashi
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Yosuke Baba
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Rie Usui
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Hirotada Suzuki
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Akihide Ohkuchi
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
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53
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Aortic balloon occlusion and placenta percreta: Some concerns and clarifications. J Trauma Acute Care Surg 2019; 83:1213-1214. [PMID: 28806286 DOI: 10.1097/ta.0000000000001678] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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54
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Matsubara S. Some suggestions to non-specialized centers still managing placenta accreta spectrum disorders. Acta Obstet Gynecol Scand 2018; 98:538. [DOI: 10.1111/aogs.13501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Accepted: 11/05/2018] [Indexed: 01/08/2023]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
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55
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Jauniaux E, Alfirevic Z, Bhide AG, Belfort MA, Burton GJ, Collins SL, Dornan S, Jurkovic D, Kayem G, Kingdom J, Silver R, Sentilhes L. Placenta Praevia and Placenta Accreta: Diagnosis and Management: Green-top Guideline No. 27a. BJOG 2018; 126:e1-e48. [PMID: 30260097 DOI: 10.1111/1471-0528.15306] [Citation(s) in RCA: 223] [Impact Index Per Article: 37.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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56
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Matsubara S, Takahashi H, Takei Y. Magnetic resonance imaging for diagnosis of placenta accreta spectrum disorders: still useful for real-world practice. Am J Obstet Gynecol 2018; 219:312-313. [PMID: 29752929 DOI: 10.1016/j.ajog.2018.04.058] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Accepted: 04/30/2018] [Indexed: 01/24/2023]
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Matsubara S. "Filling the bladder" at Cesarean Hysterectomy for Placenta Percreta. Geburtshilfe Frauenheilkd 2018; 78:715-716. [PMID: 30057428 PMCID: PMC6059868 DOI: 10.1055/a-0592-5032] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan
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58
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Comment on "Discussion on the Timing of Balloon Occlusion of the Abdominal Aorta during a Caesarean Section in Patients with Pernicious Placenta Previa Complicated with Placenta Accreta". BIOMED RESEARCH INTERNATIONAL 2018; 2018:9493878. [PMID: 30105267 PMCID: PMC6076953 DOI: 10.1155/2018/9493878] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/23/2017] [Accepted: 06/24/2018] [Indexed: 11/30/2022]
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Jing L, Wei G, Mengfan S, Yanyan H. Effect of site of placentation on pregnancy outcomes in patients with placenta previa. PLoS One 2018; 13:e0200252. [PMID: 30016336 PMCID: PMC6049903 DOI: 10.1371/journal.pone.0200252] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2017] [Accepted: 06/23/2018] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION We aimed to evaluate the site of placentation on the pregnancy outcomes of patients with placenta previa. METHODS This retrospective study included 678 cases of placenta previa. Basic information and pregnancy outcome data were collected. Differences between the different placenta previa positions and pregnancy outcomes were compared using the chi-square and independent t tests. Logistic and multiple regression analyses were used to calculate the odds ratios (ORs) to determine the risk factors for PAS disorders and postpartum hemorrhage and evaluate the effect of placental attachment site on pregnancy outcomes. RESULTS There was no significant difference between the PAS disorders rate and the incidence of complete placenta previa depending on the type of placentation; however, placental attachment site influenced the pregnancy outcome. Placental attachment to the anterior wall was associated with shorter gestational age, low birth weight, lower Apgar score, higher prenatal bleeding rate, increased postpartum hemorrhage, longer duration of hospitalization, and higher blood transfusion and hysterectomy rates compared to cases with lateral/posterior wall placenta. Placental attachment at the incision site of a previous cesarean section significantly increased the incidence of complete placenta previa and PAS disorders compared with placental attachment at a site without incision, but did not significantly influence pregnancy outcomes. Placental attachment to the anterior wall was an independent risk factor for postpartum hemorrhage in patients with placenta previa. Placental attachment to a previous incision site was an independent risk factor for PAS disorders. CONCLUSION The site of placental attachment in patients with placenta previa has an important influence on the pregnancy outcome. When the placenta is located on the anterior wall, clinicians should pay attention to the adverse pregnancy outcomes and the possibility of massive postpartum hemorrhage. In cases of placental attachment to the uterine incision site, physicians should be highly vigilant regarding the occurrence of PAS disorders.
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Affiliation(s)
- Lin Jing
- Department of Gynecology and Obstetrics, International Peace Maternity & Child Health Hospital Affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Gu Wei
- Department of Gynecology and Obstetrics, International Peace Maternity & Child Health Hospital Affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Song Mengfan
- Department of Gynecology and Obstetrics, International Peace Maternity & Child Health Hospital Affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Hou Yanyan
- Department of Gynecology and Obstetrics, International Peace Maternity & Child Health Hospital Affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai, China
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60
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Dai MJ, Jin GX, Lin JH, Zhang Y, Chen YY, Zhang XB. Pre-cesarean prophylactic balloon placement in the internal iliac artery to prevent postpartum hemorrhage among women with pernicious placenta previa. Int J Gynaecol Obstet 2018; 142:315-320. [PMID: 29876928 DOI: 10.1002/ijgo.12559] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2018] [Revised: 04/30/2018] [Accepted: 06/05/2018] [Indexed: 11/06/2022]
Affiliation(s)
- Meng-jun Dai
- Department of Interventional Oncology; Renji Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Guang-xin Jin
- Department of Interventional Oncology; Renji Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Jian-hua Lin
- Department of Obstetrics and Gynecology; Renji Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Yu Zhang
- Department of Obstetrics and Gynecology; Renji Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Yun-yan Chen
- Department of Obstetrics and Gynecology; Renji Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Xue-bin Zhang
- Department of Interventional Oncology; Renji Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
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61
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Matsubara S, Takahashi H. Temporary intra-arterial balloon occlusion for placenta accreta spectrum disorders: always inflate? Arch Gynecol Obstet 2018; 298:449-450. [PMID: 29934656 DOI: 10.1007/s00404-018-4832-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Accepted: 06/18/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
| | - Hironori Takahashi
- Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan
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62
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Allen L, Jauniaux E, Hobson S, Papillon-Smith J, Belfort MA. FIGO consensus guidelines on placenta accreta spectrum disorders: Nonconservative surgical management. Int J Gynaecol Obstet 2018; 140:281-290. [PMID: 29405317 DOI: 10.1002/ijgo.12409] [Citation(s) in RCA: 171] [Impact Index Per Article: 28.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Lisa Allen
- Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON, Canada
| | - Eric Jauniaux
- EGA Institute for Women's Health, Faculty of Population Health Sciences, University College London, London, UK
| | - Sebastian Hobson
- Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON, Canada
| | | | - Michael A Belfort
- Department of Obstetrics and Gynecology, Baylor College of Medicine, Texas Children's Pavilion for Women, Texas Medical Center, Houston, TX, USA
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63
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Matsuzaki S, Yoshino K, Endo M, Kakigano A, Takiuchi T, Kimura T. Conservative management of placenta percreta. Int J Gynaecol Obstet 2018; 140:299-306. [PMID: 29194646 DOI: 10.1002/ijgo.12411] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Revised: 11/10/2017] [Accepted: 11/29/2017] [Indexed: 11/08/2022]
Abstract
BACKGROUND Maternal outcomes after conservative management of placenta percreta are poorly understood. OBJECTIVE To assess the success and complication rates of conservative management of placenta percreta. SEARCH STRATEGY The PubMed, MEDLINE, and Scopus databases were searched for English-language articles published between January 1990 and December 2016, using combinations of search terms related to conservative management of placenta percreta. SELECTION CRITERIA Only studies describing conservative treatment for placenta percreta (without placental removal) were included in the systematic review. DATA COLLECTION AND ANALYSIS There were 44 studies included and maternal outcomes were reviewed and categorized among 72 patients. MAIN RESULTS The uterus was preserved among 42 (58%) patients and severe complications developed among 40 (56%). Prophylactic uterine artery embolization (UAE) did not improve success rates (P=0.807); however, the mean time for complete placental resorption was lower in the UAE group than in the non-UAE group (22.4 weeks vs 35.3 weeks; P=0.014). Hysterectomy was performed at a mean of 44.6 days after cesarean delivery. Among the 23 patients with hysterectomy-related complications, 18 (78%) experienced bladder injury, intraoperative bleeding (>2000 mL), or both. The use of chemotherapy did not improve success rates (P=0.064). CONCLUSIONS The present systematic review revealed high maternal morbidity during conservative management of placenta percreta.
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Affiliation(s)
- Shinya Matsuzaki
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Kiyoshi Yoshino
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Masayuki Endo
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Aiko Kakigano
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Tsuyoshi Takiuchi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
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Matsubara S, Takahashi H. Parallel vertical compression suture to the lower uterine segment for placenta previa: is conducting bladder separation first safe for abnormally invasive placenta? J Matern Fetal Neonatal Med 2018; 32:1913-1914. [DOI: 10.1080/14767058.2017.1421167] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan
| | - Hironori Takahashi
- Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan
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65
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Takahashi H, Ohkuchi A, Usui R, Suzuki H, Baba Y, Matsubara S. Matsubara-Takahashi cervix-holding technique for massive postpartum hemorrhage in patients with placenta previa with or without placenta accreta spectrum disorders. Int J Gynaecol Obstet 2017; 140:357-364. [DOI: 10.1002/ijgo.12390] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Revised: 10/12/2017] [Accepted: 11/15/2017] [Indexed: 11/09/2022]
Affiliation(s)
- Hironori Takahashi
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Akihide Ohkuchi
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Rie Usui
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Hirotada Suzuki
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Yosuke Baba
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Shigeki Matsubara
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
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66
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Matsubara S. Identifying the vaginal fornix in cesarean hysterectomy for an abnormally invasive placenta: an alternative technique. Am J Obstet Gynecol 2017; 217:493-494. [PMID: 28673790 DOI: 10.1016/j.ajog.2017.06.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Accepted: 06/26/2017] [Indexed: 11/19/2022]
Affiliation(s)
- Shigeki Matsubara
- Departments of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan.
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67
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Juusela AL, Gimovsky ML. Intraoperative Hemorrhage Requiring Emergent Hysterectomy: Failed Conservative Management of a Cervical Placenta Accreta. J Gynecol Surg 2017. [DOI: 10.1089/gyn.2017.0002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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68
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Matsubara S, Matsubara D, Takei Y. Definite conclusion on the treatment for an abnormally invasive placenta: a long way to go. J Matern Fetal Neonatal Med 2017; 32:524-525. [PMID: 28958180 DOI: 10.1080/14767058.2017.1386652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Shigeki Matsubara
- a Department of Obstetrics and Gynecology , Jichi Medical University , Tochigi , Japan
| | - Daisuke Matsubara
- b Department of Pediatrics , Jichi Medical University , Tochigi , Japan
| | - Yuji Takei
- a Department of Obstetrics and Gynecology , Jichi Medical University , Tochigi , Japan
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69
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Cao Y, Wei Y, Yu Y, Wang Z. Safety and efficacy of a novel three-dimensional magnetic resonance imaging model for uterine incision in placenta previa. Int J Gynaecol Obstet 2017; 139:336-341. [PMID: 28842976 DOI: 10.1002/ijgo.12311] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2017] [Revised: 06/27/2017] [Accepted: 08/24/2017] [Indexed: 11/07/2022]
Affiliation(s)
- Yanwen Cao
- Department of Obstetrics and Gynecology; Nanfang Hospital; Southern Medical University; Guangzhou China
- Department of Obstetrics and Gynecology; First People's Hospital of Chenzhou; Chenzhou China
| | - Yanxing Wei
- Department of Obstetrics and Gynecology; Nanfang Hospital; Southern Medical University; Guangzhou China
| | - Yanhong Yu
- Department of Obstetrics and Gynecology; Nanfang Hospital; Southern Medical University; Guangzhou China
| | - Zhijian Wang
- Department of Obstetrics and Gynecology; Nanfang Hospital; Southern Medical University; Guangzhou China
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70
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Matsubara S, Takahashi H. Cesarean hysterectomy for abnormally invasive placenta: is urologists' participation in the surgery always necessary? Scand J Urol 2017; 51:496-497. [PMID: 28891357 DOI: 10.1080/21681805.2017.1373147] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Shigeki Matsubara
- a Department of Obstetrics and Gynecology , Jichi Medical University , Shimotsuke , Tochigi , Japan
| | - Hironori Takahashi
- a Department of Obstetrics and Gynecology , Jichi Medical University , Shimotsuke , Tochigi , Japan
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71
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Matsubara S, Takahashi H, Baba Y. Handling aberrant vessels located in the posterior bladder wall in surgery for abnormally invasive placenta: a non/less-touch technique. Arch Gynecol Obstet 2017; 296:851-853. [DOI: 10.1007/s00404-017-4498-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2017] [Accepted: 08/23/2017] [Indexed: 10/18/2022]
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72
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Matsubara S, Takahashi H, Lefor AK. The "morbidly adherent placenta" team: recognition and respect are needed. Am J Obstet Gynecol 2017; 217:101-102. [PMID: 28389224 DOI: 10.1016/j.ajog.2017.03.031] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2017] [Accepted: 03/28/2017] [Indexed: 02/02/2023]
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Matsubara S. Re: Moving from intrapartum to prenatal diagnosis of placenta accreta: a quarter of a century in the making but still a long way to go. BJOG 2017; 124:1287-1288. [DOI: 10.1111/1471-0528.14568] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/15/2017] [Indexed: 11/27/2022]
Affiliation(s)
- Shigeki Matsubara
- Departments of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
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74
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Matsubara S, Palacios Jaraquemada JM. Local uterine resection for placenta percreta: technical details are important. J Matern Fetal Neonatal Med 2017; 31:2338-2339. [PMID: 28587491 DOI: 10.1080/14767058.2017.1339228] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Shigeki Matsubara
- a Department of Obstetrics and Gynecology , Jichi Medical University , Shimotsuke , Japan
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75
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Sclerotherapy for placenta accreta: Some concerns. Taiwan J Obstet Gynecol 2017; 56:270. [PMID: 28420525 DOI: 10.1016/j.tjog.2016.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2016] [Indexed: 11/23/2022] Open
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76
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Matsubara S, Nagayama S, Narumi R, Usui R, Suzuki T. Hysterectomy for cesarean scar pregnancy: no or minimal bladder separation technique. Acta Obstet Gynecol Scand 2017; 96:898-899. [DOI: 10.1111/aogs.13129] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Shiho Nagayama
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Risa Narumi
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Rie Usui
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Tatsuya Suzuki
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
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Wang YL, Su FM, Zhang HY, Wang F, Zhe RL, Shen XY. Aortic balloon occlusion for controlling intraoperative hemorrhage in patients with placenta previa increta/percreta. J Matern Fetal Neonatal Med 2017; 30:2564-2568. [PMID: 28264601 DOI: 10.1080/14767058.2016.1256990] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND/AIMS To investigate whether abdominal aortic balloon occlusion (ABO) effectively reduces intraoperative hemorrhage in patents with placenta previa increta/increta. METHODS Forty-three women were diagnosed as placenta previa increta/percreta by ultrasound and MRI. These patients' assessments were taken by their chief physician, and they were under necessity of previous cesarean section as confirmed by the committee of experts during consultation. There was no significant difference in disease risk rating between them in whole process. Although our department provided a more appropriate method, 10 of 43 patients chose intraoperative aortic balloon occlusion (IABO). Other 33 patients who refused that suggestion were considered as control group. Fully informed consents were obtained from all patients in this study group. The intraoperative blood loss, blood transfusion, rate of hysterectomy and complications of mothers and fetus of IABO group and control group were analyzed. RESULTS The median intraoperative blood loss was 1000 ml in the IABO group compared with 2000 ml in the control group (p < 0.05). The median volume of transfused red blood cells was 1100 ml in the IABO group compared with 2000 ml in the control group (p < 0.05). 33.3% (11/33) patients in the control group had hemorrhagic shock, and one of them suffered from cardiac arrest intraoperatively because of severe bleeding. However, none of these serious events occurred in the IABO group (p < 0.05). The hysterectomy rate was 70% (7/10) in the IABO group and 63.3% (21/33) in the control group (p > 0.05). No IABO-related complications were observed in the mother and fetus. CONCLUSION IABO is an effective and safe method to control intraoperative blood loss and blood transfusion in patients with placenta previa increta/percreta.
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Affiliation(s)
- Ying-Lan Wang
- a Department of Obstetrics and Gynecology, The Second Hospital of Jinan University, People's Hospital of Shenzhen , Shenzhen , China
| | - Fang-Ming Su
- a Department of Obstetrics and Gynecology, The Second Hospital of Jinan University, People's Hospital of Shenzhen , Shenzhen , China
| | - Hai-Ying Zhang
- a Department of Obstetrics and Gynecology, The Second Hospital of Jinan University, People's Hospital of Shenzhen , Shenzhen , China
| | - Fang Wang
- a Department of Obstetrics and Gynecology, The Second Hospital of Jinan University, People's Hospital of Shenzhen , Shenzhen , China
| | - Rui-Lian Zhe
- a Department of Obstetrics and Gynecology, The Second Hospital of Jinan University, People's Hospital of Shenzhen , Shenzhen , China
| | - Xin-Ying Shen
- b Department of Radiology, The Second Hospital of Jinan University, People's Hospital of Shenzhen , Shenzhen , China
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Matsubara S, Takahashi H, Baba Y, Lefor AK. Aortic Balloon Occlusion for Placenta Previa Accreta: Surgical Details are Important. Cardiovasc Intervent Radiol 2016; 40:478-479. [PMID: 27796534 DOI: 10.1007/s00270-016-1485-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2016] [Accepted: 10/13/2016] [Indexed: 11/26/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1, Shimotsuke, Tochigi, 329-0498, Japan.
| | - Hironori Takahashi
- Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1, Shimotsuke, Tochigi, 329-0498, Japan
| | - Yosuke Baba
- Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1, Shimotsuke, Tochigi, 329-0498, Japan
| | - Alan Kawarai Lefor
- Department of Surgery, Jichi Medical University, 3311-1, Shimotsuke, Tochigi, 329-0498, Japan
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79
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Baba Y, Takahashi H, Ohkuchi A, Usui R, Matsubara S. Which type of placenta previa requires blood transfusion more frequently? A new concept of indiscernible edge total previa. J Obstet Gynaecol Res 2016; 42:1502-1508. [DOI: 10.1111/jog.13097] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Accepted: 06/08/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Yosuke Baba
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - Hironori Takahashi
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - Akihide Ohkuchi
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - Rie Usui
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - Shigeki Matsubara
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
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80
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El-Sokkary M, Wahba K, El-Shahawy Y. Uterine salvage management for atonic postpartum hemorrhage using "modified lynch suture". BMC Pregnancy Childbirth 2016; 16:251. [PMID: 27567670 PMCID: PMC5002172 DOI: 10.1186/s12884-016-1000-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2015] [Accepted: 07/29/2016] [Indexed: 11/29/2022] Open
Abstract
Background To assess the effectiveness of the new modified technique in order to control bleeding in women presenting with atonic, flabby uterus compared to the most commonly described technique of classic B-Lynch suture. Method This study included 160 women of uncontrolled atonic postpartum hemorrhage delivered by cesarean section at Ain Shams University Maternity Hospital between January 2013 and October 2015. Participants were randomly assigned following simple randomization procedures (computerized random numbers) and divided into two groups. Group, I (80 patients) operated upon by the modified (new technique) stitch while group II (80 patients) operated upon by the classic technique. The ultimate goals were to stop blood loss after placement of the sutures and avoid life-saving hysterectomy thus preserving the life and fertility of the patient. Results The modified new technique was done in 80 patients with atonic postpartum hemorrhage and it was found to be superior to the classic technique with a success rate 95 % (4 cases needed hysterectomy as a lifesaving measure) compared to 85 % with the classic technique (in 12 cases, a life-saving hysterectomy was done). Conclusions This technique can replace the classic B-lynch in flabby unresponsive atonic uteri as it has 8 shaped placement of the stitch which causes more firm compression on the uterus and simultaneous bilateral uterine artery ligation. This technique was proved valuable and successful in many patients who suffer from uncontrolled massive postpartum hemorrhage (PPH).
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Affiliation(s)
- M El-Sokkary
- Dept. of Obstetrics and Gynecology (OBGY), Ain Shams University Maternity Hospital, Cairo, Egypt.
| | - K Wahba
- Dept. of Obstetrics and Gynecology (OBGY), Ain Shams University Maternity Hospital, Cairo, Egypt
| | - Y El-Shahawy
- Dept. of Obstetrics and Gynecology (OBGY), Ain Shams University Maternity Hospital, Cairo, Egypt
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81
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Factors Contributing to Massive Blood Loss on Peripartum Hysterectomy for Abnormally Invasive Placenta: Who Bleeds More? Obstet Gynecol Int 2016; 2016:5349063. [PMID: 27630716 PMCID: PMC5005569 DOI: 10.1155/2016/5349063] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2016] [Accepted: 08/01/2016] [Indexed: 11/17/2022] Open
Abstract
Introduction. To identify factors that determine blood loss during peripartum hysterectomy for abnormally invasive placenta (AIP-hysterectomy). Methods. We reviewed all of the medical charts of 11,919 deliveries in a single tertiary perinatal center. We examined characteristics of AIP-hysterectomy patients, with a single experienced obstetrician attending all AIP-hysterectomies and using the same technique. Results. AIP-hysterectomy was performed in 18 patients (0.15%: 18/11,919). Of the 18, 14 (78%) had a prior cesarean section (CS) history and the other 4 (22%) were primiparous women. Planned AIP-hysterectomy was performed in 12/18 (67%), with the remaining 6 (33%) undergoing emergent AIP-hysterectomy. Of the 6, 4 (4/6: 67%) patients were primiparous women. An intra-arterial balloon was inserted in 9/18 (50%). Women with the following three factors significantly bled less in AIP-hysterectomy than its counterpart: the employment of an intra-arterial balloon (4,448 ± 1,948 versus 8,861 ± 3,988 mL), planned hysterectomy (5,003 ± 2,057 versus 9,957 ± 4,485 mL), and prior CS (5,706 ± 2,727 versus 9,975 ± 5,532 mL). Patients with prior CS (-) bled more: this may be because these patients tended to undergo emergent surgery or attempted placental separation. Conclusion. Patients with intra-arterial balloon catheter insertion bled less on AIP-hysterectomy. Massive bleeding occurred in emergent AIP-hysterectomy without prior CS.
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82
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Matsubara S, Takahashi H, Takei Y, Lefor AK. Re: Caesarean hysterectomy for placenta praevia/accreta using an approach via the pouch of Douglas. BJOG 2016; 123:1404-5. [PMID: 27272303 DOI: 10.1111/1471-0528.13911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/17/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynaecology, Jichi Medical University, Tochigi, Japan
| | - Hironori Takahashi
- Department of Obstetrics and Gynaecology, Jichi Medical University, Tochigi, Japan
| | - Yuji Takei
- Department of Obstetrics and Gynaecology, Jichi Medical University, Tochigi, Japan
| | - Alan K Lefor
- Department of Surgery, Jichi Medical University, Tochigi, Japan
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83
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Attempted placental separation for suspected placenta accreta: experience may matter. Eur J Obstet Gynecol Reprod Biol 2016; 201:220-1. [DOI: 10.1016/j.ejogrb.2016.02.024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 02/11/2016] [Indexed: 11/17/2022]
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84
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Matsubara S, Takahashi H, Horie K, Lefor AK, Fujiwara H. Caesarean hysterectomy for placenta accreta: paracervix should be divided sequentially, not en masse. Eur J Obstet Gynecol Reprod Biol 2016; 201:227-8. [PMID: 27129744 DOI: 10.1016/j.ejogrb.2016.03.047] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2016] [Accepted: 03/30/2016] [Indexed: 12/01/2022]
Affiliation(s)
- S Matsubara
- Department of Obstetrics and Gynaecology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
| | - H Takahashi
- Department of Obstetrics and Gynaecology, Jichi Medical University, Shimotsuke, Tochigi, Japan
| | - K Horie
- Department of Obstetrics and Gynaecology, Jichi Medical University, Shimotsuke, Tochigi, Japan
| | - A K Lefor
- Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
| | - H Fujiwara
- Department of Obstetrics and Gynaecology, Jichi Medical University, Shimotsuke, Tochigi, Japan
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85
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Matsubara S, Takahashi H, Takei Y, Lefor AK. Re: Abnormally invasive placenta - prevalence, risk factors and antenatal suspicion: results from a large population-based pregnancy cohort study in the Nordic countries. BJOG 2016; 123:1031-2. [DOI: 10.1111/1471-0528.13759] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/22/2015] [Indexed: 11/30/2022]
Affiliation(s)
- S Matsubara
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - H Takahashi
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - Y Takei
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - AK Lefor
- Department of Surgery; Jichi Medical University; Tochigi Japan
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86
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Matsubara S, Takahashi H, Usui R, Morisawa H, Nakamura H, Takei Y. Cesarean hysterectomy for placenta previa accreta in dichorionic twin: a surgery that remains challenging. J Matern Fetal Neonatal Med 2015; 29:3151-2. [PMID: 26552326 DOI: 10.3109/14767058.2015.1118034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Shigeki Matsubara
- a Department of Obstetrics and Gynecology , Jichi Medical University , Tochigi , Japan and
| | - Hironori Takahashi
- a Department of Obstetrics and Gynecology , Jichi Medical University , Tochigi , Japan and
| | - Rie Usui
- a Department of Obstetrics and Gynecology , Jichi Medical University , Tochigi , Japan and
| | - Hiroyuki Morisawa
- a Department of Obstetrics and Gynecology , Jichi Medical University , Tochigi , Japan and
| | - Hiroyasu Nakamura
- b Department of Radiology , Jichi Medical University , Tochigi , Japan
| | - Yuji Takei
- a Department of Obstetrics and Gynecology , Jichi Medical University , Tochigi , Japan and
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87
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On-site hemostatic suturing for placenta previa: concerns and clarifications. Arch Gynecol Obstet 2015; 293:223-224. [PMID: 26559419 DOI: 10.1007/s00404-015-3959-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Accepted: 11/03/2015] [Indexed: 10/22/2022]
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88
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Brennan DJ, Schulze B, Chetty N, Crandon A, Petersen SG, Gardener G, Perrin L. Surgical management of abnormally invasive placenta: a retrospective cohort study demonstrating the benefits of a standardized operative approach. Acta Obstet Gynecol Scand 2015; 94:1380-6. [DOI: 10.1111/aogs.12768] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2015] [Accepted: 08/17/2015] [Indexed: 11/27/2022]
Affiliation(s)
- Donal J. Brennan
- Queensland Centre for Gynaecological Cancer; Mater Health Services; Raymond Terrace South Brisbane Queensland Australia
- Central Clinical Division; Queensland Centre for Gynaecological Oncology; University of Queensland; School of Medicine; Brisbane Queensland Australia
| | - Brittany Schulze
- Queensland Centre for Gynaecological Cancer; Mater Health Services; Raymond Terrace South Brisbane Queensland Australia
| | - Naven Chetty
- Queensland Centre for Gynaecological Cancer; Mater Health Services; Raymond Terrace South Brisbane Queensland Australia
| | - Alex Crandon
- Queensland Centre for Gynaecological Cancer; Mater Health Services; Raymond Terrace South Brisbane Queensland Australia
| | - Scott G. Petersen
- Mater Centre for Maternal Fetal Medicine; Mater Health Services; Raymond Terrace South Brisbane Queensland Australia
- Mater Research Institute-University of Queensland; South Brisbane Queensland Australia
| | - Glenn Gardener
- Mater Centre for Maternal Fetal Medicine; Mater Health Services; Raymond Terrace South Brisbane Queensland Australia
- Mater Research Institute-University of Queensland; South Brisbane Queensland Australia
| | - Lewis Perrin
- Queensland Centre for Gynaecological Cancer; Mater Health Services; Raymond Terrace South Brisbane Queensland Australia
- Central Clinical Division; Queensland Centre for Gynaecological Oncology; University of Queensland; School of Medicine; Brisbane Queensland Australia
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89
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Ibrahim MA, Liu A, Dalpiaz A, Schwamb R, Warren K, Khan SA. Urological Manifestations of Placenta Percreta. Curr Urol 2015; 8:57-65. [PMID: 26889119 DOI: 10.1159/000365691] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2014] [Accepted: 12/12/2014] [Indexed: 12/19/2022] Open
Abstract
Placenta percreta is a condition of pregnancy associated with abnormal decidua placenta. It is characterized by invasion of chorionic villi past the myometrium and serosa, towards urogenital organs. Complications include massive hemorrhage, bladder dysfunction, and severe infections during delivery. Reports suggest an increasing prevalence of this condition. From a urological perspective, this review suggests how early diagnostic modalities, effective treatment plans, and appropriate surgical methods may aid in decreasing the morbidity and mortality of placenta percreta. The importance of maintaining bladder integrity during hysterectomy is emphasized.
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Affiliation(s)
- Mina A Ibrahim
- Department of Physiology and Biophysics, Stony Brook, N.Y., USA
| | - Angela Liu
- Department of Physiology and Biophysics, Stony Brook, N.Y., USA
| | - Amanda Dalpiaz
- Department of Physiology and Biophysics, Stony Brook, N.Y., USA
| | - Richard Schwamb
- Department of Physiology and Biophysics, Stony Brook, N.Y., USA
| | - Kelly Warren
- Department of Physiology and Biophysics, Stony Brook, N.Y., USA
| | - Sardar A Khan
- Department of Urology, SUNY School of Medicine, Stony Brook University, Stony Brook, N.Y., USA
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90
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Kondoh E, Kawasaki K, Chigusa Y, Mogami H, Ueda A, Kawamura Y, Konishi I. Optimal strategies for conservative management of placenta accreta: a review of the literature. HYPERTENSION RESEARCH IN PREGNANCY 2015. [DOI: 10.14390/jsshp.3.19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Eiji Kondoh
- Department of Gynecology and Obstetrics, Kyoto University
| | - Kaoru Kawasaki
- Department of Gynecology and Obstetrics, Kyoto University
| | | | - Haruta Mogami
- Department of Gynecology and Obstetrics, Kyoto University
| | - Akihiko Ueda
- Department of Gynecology and Obstetrics, Kyoto University
| | | | - Ikuo Konishi
- Department of Gynecology and Obstetrics, Kyoto University
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91
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Matsubara S. A stepwise cesarean section for placenta percreta: effective only for "separable" placenta percreta? Arch Gynecol Obstet 2014; 291:243-4. [PMID: 25388919 DOI: 10.1007/s00404-014-3542-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2014] [Accepted: 11/04/2014] [Indexed: 11/26/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Shimotsuke, Tochigi, 329-0498, Japan,
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92
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Placenta percreta with a vaginal fistula after successful management by uterine transverse fundal incision and subsequent cesarean hysterectomy. Obstet Gynecol Sci 2014; 57:397-400. [PMID: 25264531 PMCID: PMC4175601 DOI: 10.5468/ogs.2014.57.5.397] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2014] [Revised: 05/12/2014] [Accepted: 05/15/2014] [Indexed: 11/08/2022] Open
Abstract
Placenta previa presents a highest risk to pregnancy, and placenta accreta is the most serious. Placenta accreta requires cesarean delivery and often results in massive obstetric hemorrhage and higher maternal morbidity. Challenges associated with cesarean delivery techniques may contribute to increased maternal blood loss and morbidity rates. Several recent obstetric studies reported the usefulness of transverse uterine fundal incision for managing placenta accreta. We present a case of placenta percreta that was treated by a transverse fundal incision. We successfully avoided cutting through the placenta and helped decrease maternal blood loss. After delivery, the patient underwent a cesarean hysterectomy. Postoperative day 48, she experienced watery discharge and was diagnosed with vaginal fistula. We present our case and review the literature.
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93
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Matsuzaki S, Yoshino K, Kumasawa K, Satou N, Mimura K, Kanagawa T, Ueda Y, Kimura T. Placenta percreta managed by transverse uterine fundal incision with retrograde cesarean hysterectomy: a novel surgical approach. Clin Case Rep 2014; 2:260-4. [PMID: 25548627 PMCID: PMC4270707 DOI: 10.1002/ccr3.108] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2014] [Revised: 06/17/2014] [Accepted: 06/17/2014] [Indexed: 12/02/2022] Open
Abstract
Key Clinical Message Placenta percreta (with bladder invasion) is a rare obstetric condition with the risk of massive intraoperative hemorrhage. In these cases, the combination of a transverse uterine fundal incision and retrograde cesarean hysterectomy could be useful to minimize maternal hemorrhage and avoid severe bladder injury.
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Affiliation(s)
- Shinya Matsuzaki
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine Suita, Osaka, 565-0871, Japan
| | - Kiyoshi Yoshino
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine Suita, Osaka, 565-0871, Japan
| | - Keiichi Kumasawa
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine Suita, Osaka, 565-0871, Japan
| | - Noriko Satou
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine Suita, Osaka, 565-0871, Japan
| | - Kazuya Mimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine Suita, Osaka, 565-0871, Japan
| | - Takeshi Kanagawa
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine Suita, Osaka, 565-0871, Japan
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine Suita, Osaka, 565-0871, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine Suita, Osaka, 565-0871, Japan
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94
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Minas V, Gul N, Shaw E, Mwenenchanya S. Prophylactic balloon occlusion of the common iliac arteries for the management of suspected placenta accreta/percreta: conclusions from a short case series. Arch Gynecol Obstet 2014; 291:461-5. [DOI: 10.1007/s00404-014-3436-9] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2014] [Accepted: 08/25/2014] [Indexed: 11/25/2022]
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95
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Baba Y, Matsubara S, Ohkuchi A, Usui R, Kuwata T, Suzuki H, Takahashi H, Suzuki M. Anterior placentation as a risk factor for massive hemorrhage during cesarean section in patients with placenta previa. J Obstet Gynaecol Res 2014; 40:1243-8. [PMID: 24750257 DOI: 10.1111/jog.12340] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2013] [Accepted: 10/28/2013] [Indexed: 11/30/2022]
Abstract
AIM In placenta previa (PP), anterior placentation, compared with posterior placentation, is reported to more frequently cause massive hemorrhage during cesarean section (CS). Whether this is due to the high incidence of placenta accreta, previous CS, or a transplacental approach in anterior placenta is unclear. We attempted to clarify this issue. MATERIAL AND METHODS We retrospectively analyzed the relation between the bleeding amount during CS for PP and various factors that may cause massive hemorrhage (>2400 mL) (n = 205) in a tertiary center. If the preoperatively ultrasound-measured distance from the internal cervical ostium to the placental edge was longer in the uterine anterior wall than in the posterior wall, we defined it as anterior previa, and vice versa. RESULTS Patients with accreta, previous CS, total previa, and anterior placentation bled significantly more than their counterparts. Multivariate logistic regression analysis showed that accreta (odds ratio [OR] 12.6), previous CS (OR 4.7), total previa (OR 4.1), and anterior placentation (OR 3.5) were independent risk factors of massive hemorrhage. CONCLUSIONS Anterior placentation, namely, the placenta with a longer os-placental edge distance in the anterior wall than in the posterior wall, was a risk of massive hemorrhage during CS for PP.
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Affiliation(s)
- Yosuke Baba
- Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan
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96
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Ureteral Catheter is useful to Prevent Ureteral Injuries not only for Gynecologic Surgery but also for Cesarean Hysterectomy for Placenta Previa Accreta: The Obstetrician's Opinion. Urologia 2014; 81:187-8. [DOI: 10.5301/urologia.5000049] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/14/2013] [Indexed: 11/20/2022]
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97
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A new approach for the Bakri balloon for placenta previa. Eur J Obstet Gynecol Reprod Biol 2014; 182:262-3. [PMID: 24560217 DOI: 10.1016/j.ejogrb.2014.01.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2014] [Accepted: 01/21/2014] [Indexed: 11/22/2022]
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98
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Perez-Delboy A, Wright JD. Surgical management of placenta accreta: to leave or remove the placenta? BJOG 2013; 121:163-9; discussion 169-70. [DOI: 10.1111/1471-0528.12524] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2013] [Indexed: 11/29/2022]
Affiliation(s)
- A Perez-Delboy
- Department of Obstetrics and Gynecology; Columbia University College of Physicians and Surgeons; New York NY USA
| | - JD Wright
- Department of Obstetrics and Gynecology; Columbia University College of Physicians and Surgeons; New York NY USA
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99
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Matsubara S. Letter to the editor: web-based education for placental complications of pregnancy. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2013; 35:881-882. [PMID: 24165053 DOI: 10.1016/s1701-2163(15)30807-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Japan
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100
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Matsubara S. Reply: Cesarean hysterectomy for placenta previa accreta; extrapolating measures may have merits for ordinary obstetricians. Acta Obstet Gynecol Scand 2013; 92:1431-2. [DOI: 10.1111/aogs.12242] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
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