Cesarean Hysterectomy for Abnormal Placentation Using Balloon Occlusion of the Common Iliac Artery: Case Series
Journal Title: Women's Health – Open Journal - Year 2017, Vol 3, Issue 1
Abstract
Objective: To investigate the management and safety of cesarean hysterectomy using common iliac artery balloon occlusion (CIABO) for placenta percreta/increta/accreta. Patients and Methods: We performed 4 cesarean hysterectomies at 33-36 weeks of gestation. All 4 patients had undergone cesarean section previously and had placenta previa. The patients then underwent cesarean hysterectomy using CIABO. Results: Two patients were ultimately diagnosed with placenta percreta, one with placenta increta and 1 with placenta accreta. The actual invasive depth of the placenta tended to be deeper than had been diagnosed before surgery. The volume of blood loss in the 3 patients whose balloons were placed in the common iliac artery from the start ranged from 1361-3851 ml (including amniotic fluid and fewer amounts of bleeding than these), and these patients received only autologous blood transfusion. All 4 patients were ultimately discharged from the hospital without any complications. Conclusion: We were able to control the blood loss well using CIABO during cesarean hysterectomy. We confirm that our method of managing cesarean hysterectomy for abnormal placentation can be conducted safely.
Authors and Affiliations
Masafumi Koshiyama
Keywords
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- EP ID EP554884
- DOI 10.17140/WHOJ-3- 117
- Views 158
- Downloads 0
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