PURPOSE: To describe a modified surgical approach in the form of stepwise cesarean section in placenta percreta. METHODS: We conducted a prospective observational study. A total of 71 patients with placenta percreta were subjected to the new stepwise surgical approach and uterine repair at the time of cesarean delivery. RESULTS: The procedure was successful in controlling the bleeding and preserving the patient's uterus in 65 (91.5%) women. Ten patients (14.1%) had urinary tract complications, nine (90%) were managed during cesarean section and one presented late in the form of vesicouterine fistula. CONCLUSIONS: A stepwise cesarean section is safe and effective procedure that can be applied in placenta percreta.
PURPOSE: To describe a modified surgical approach in the form of stepwise cesarean section in placenta percreta. METHODS: We conducted a prospective observational study. A total of 71 patients with placenta percreta were subjected to the new stepwise surgical approach and uterine repair at the time of cesarean delivery. RESULTS: The procedure was successful in controlling the bleeding and preserving the patient's uterus in 65 (91.5%) women. Ten patients (14.1%) had urinary tract complications, nine (90%) were managed during cesarean section and one presented late in the form of vesicouterine fistula. CONCLUSIONS: A stepwise cesarean section is safe and effective procedure that can be applied in placenta percreta.
Authors: Husham A Ahmed; Fathima Minisha; Isaac A Babarinsa; Ahmed J Omar; Arabo I Bayo; Khalid K Omar; Thomas A Farrell Journal: Qatar Med J Date: 2021-03-15