Hennetier C, Daudruy Brasseur M, Patrier S, Clavier E, Thibault ML, Verspyck E. [Conservative placenta percreta management using uterine arterial embolization procedure: A series of 12 cases].
J Gynecol Obstet Hum Reprod 2017;
46:297-299. [PMID:
28403929 DOI:
10.1016/j.jogoh.2016.10.010]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 09/27/2016] [Accepted: 10/05/2016] [Indexed: 10/20/2022]
Abstract
We report a retrospective series of 12 placentas percreta with bladder invasion and for which an expected initially multidisciplinary conservative surgical treatment associated with uterine artery embolization was programmed. Conservative surgical treatment was only performed in 7 women. Radical surgical treatment was necessary during the caesarean section and complicated by massive hemorrhage in three women and secondary in two other women for infectious diseases. Radical surgical treatment was associated with partial cystectomy complicated with urinary disorder sequelae in three women. Maternal morbidity of the placenta percreta bladder remains high despite the establishment of a multidisciplinary care protocol.
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