scholarly journals Iliac artery balloon catheter use in abnormally invasive placenta disease management - a reply

Anaesthesia ◽  
2017 ◽  
Vol 72 (11) ◽  
pp. 1423-1423
Author(s):  
H. Huang
Keyword(s):  
Disease Management ◽  
Iliac Artery ◽  
Balloon Catheter ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

scholarly journals Iliac artery balloon catheter use in abnormally invasive placental disease management

Anaesthesia ◽  
2017 ◽  
Vol 72 (11) ◽  
pp. 1422-1422
Author(s):  
A. Taylor ◽  
M. Henderson ◽  
M. Broom
Keyword(s):  
Disease Management ◽  
Iliac Artery ◽  
Balloon Catheter ◽  
Placental Disease

scholarly journals Factors Contributing to Massive Blood Loss on Peripartum Hysterectomy for Abnormally Invasive Placenta: Who Bleeds More?

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Hironori Takahashi ◽  
Akihide Ohkuchi ◽  
Rie Usui ◽  
Hirotada Suzuki ◽  
Yosuke Baba ◽  
...  
Keyword(s):  
Blood Loss ◽  
Balloon Catheter ◽  
Massive Bleeding ◽  
Peripartum Hysterectomy ◽  
Perinatal Center ◽  
Invasive Placenta ◽  
Primiparous Women ◽  
Emergent Surgery ◽  
Abnormally Invasive Placenta ◽  
Prior Cesarean Section

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±1,948versus8,861±3,988 mL), planned hysterectomy (5,003±2,057versus9,957±4,485 mL), and prior CS (5,706±2,727versus9,975±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.

The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Magdy Mohamed kamal Yousef ◽  
Ahmed Mohamed Rateb ◽  
Ahmed Mohsen Hassan Mohamed
Keyword(s):  
Blood Loss ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Ligation ◽  
Cesarean Hysterectomy ◽  
Internal Iliac Artery Ligation ◽  
Internal Iliac ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

Abstract Background Abnormally invasive placenta (AIP) is a term that describes cases in which there is complete or partial failure of separation of the placenta from the uterine wall following delivery of the fetus. Objective to detect the role of bilateral internal iliac artery ligation in minimizing blood loss, prior to performing Cesarean Hysterectomy in cases with confirmed preoperative or intraoperative diagnosis of Abnormally invasive placenta. Patients and Methods The study was carried out at Ain shams university maternity hospital in 2019. Women were recruited from the labor ward who underwent CS Hysterectomy. The total number of pregnant women enrolled in the study was 95 women. Approval from the Medical Ethics Committee were obtained. Results Our study showed that internal iliac artery ligation in CS hysterectomy cases for AIP has non significant lower blood loss than cases who did not underwent internal iliac artery ligation. In stead, it had increased the operative time. In comparison of 45 patients underwent internal iliac artery ligation and 45 without ligation blood loss was non significantly lower in the group who underwent ligation with mean 1933 ml blood loss in comparison with 2117 ml in the group who did not. Conclusion Bilateral internal iliac artery ligation, in cases of AIP undergoing caesarean hysterectomy, is not recommended for routine practice to minimize blood loss intraoperatively.

scholarly journals First‐trimester prediction of surgical outcome in abnormally invasive placenta using the cross‐over sign

2018 ◽  
Vol 51 (2) ◽  
pp. 184-188 ◽  
Author(s):  
G. Calì ◽  
F. Forlani ◽  
G. Minneci ◽  
F. Foti ◽  
S. Di Liberto ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
First Trimester ◽  
Invasive Placenta ◽  
The Cross ◽  
Abnormally Invasive Placenta

scholarly journals Maternal and neonatal outcomes following abnormally invasive placenta: a population-based record linkage study

2017 ◽  
Vol 96 (11) ◽  
pp. 1373-1381 ◽  
Author(s):  
Heather J. Baldwin ◽  
Jillian A. Patterson ◽  
Tanya A. Nippita ◽  
Siranda Torvaldsen ◽  
Ibinabo Ibiebele ◽  
...  
Keyword(s):  
Record Linkage ◽  
Population Based ◽  
Linkage Study ◽  
Neonatal Outcomes ◽  
Invasive Placenta ◽  
Maternal And Neonatal Outcomes ◽  
Abnormally Invasive Placenta

scholarly journals Cesarean Hysterectomy in Abnormally Invasive Placenta: The Role of Prenatal Diagnosis

Diseases ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 56
Author(s):  
Ana Maria Cubo ◽  
Ana Villalba Yarza ◽  
Irene Gastaca ◽  
María Victoria Lapresa-Alcalde ◽  
Maria José Doyague ◽  
...  
Keyword(s):  
Decisive Role ◽  
Massive Bleeding ◽  
High Rate ◽  
Severe Bleeding ◽  
Cesarean Hysterectomy ◽  
Invasive Placenta ◽  
Postsurgical Recovery ◽  
Dangerous Condition ◽  
Abnormally Invasive Placenta

An abnormally invasive placenta (AIP) is a placenta that cannot be removed spontaneously or manually without causing severe bleeding. It is a dangerous condition associated with a high rate of maternal and perinatal morbidity and mortality due to the high rate of massive bleeding and visceral injuries. The standardized ultrasound diagnostic criteria have helped improve its early diagnosis, which is essential to plan coordinated actions to reduce associated morbimortality. We present a case report in which ultrasound diagnosis played a decisive role, enabling the coordination of a multidisciplinary team and improving the immediate care of both mother and newborn. Cesarean hysterectomy was performed with minimal blood loss and a good postsurgical recovery.

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