To evaluate whether aorta balloon occlusion decreases the rate of hysterectomies and maternal morbidity during extirpative surgery of placenta previa accreta or increta. We prospectively assessed 33 consecutive patients with placenta praevia and MRI diagnosis of multifocal accreta or increta. Manual removal of the placenta was performed during a scheduled caesarean delivery. In 15 patients, surgery was preceded by balloon catheterization of the abdominal aorta (Intra Abdominal Balloon Occlusion: IABO); 18 patients refusing IABO were considered as controls. We used Fisher's exact test for categorical variables and Mann-Whitney test for continuous variables. In the IABO group we observed significant decreases in incidence of hysterectomy, estimated blood loss, number of transfused units of red blood cells, postoperative stay and admission to Intensive Care Unit. No IABO-related complications were reported. During scheduled caesarean section for placenta previa multifocally accreta or increta, IABO can prevent hysterectomy in many cases and improves perioperative outcome as it gives the operator time to achieve the haemostasis via curettage and oversewing of the implantation site with acceptable blood loss.

Intraoperative aorta balloon occlusion: fertility preservation in patients with placenta previa accreta/increta / BENEDETTI PANICI, Pierluigi; Anceschi, Maurizio Marco; Borgia, Maria Luisa; Bresadola, Luciano; Masselli, Gabriele; Parasassi, Tiziana; Perrone, Giuseppina; Fetal Maternal Risk, Group*; Brunelli, Roberto; DI DONATO, Violante. - In: THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE. - ISSN 1476-7058. - STAMPA. - 25:12(2012), pp. 2512-2516. [10.3109/14767058.2012.712566]

Intraoperative aorta balloon occlusion: fertility preservation in patients with placenta previa accreta/increta

BENEDETTI PANICI, PIERLUIGI;ANCESCHI, Maurizio Marco;BORGIA, Maria Luisa;BRESADOLA, Luciano;PERRONE, Giuseppina;BRUNELLI, Roberto;DI DONATO, VIOLANTE
2012

Abstract

To evaluate whether aorta balloon occlusion decreases the rate of hysterectomies and maternal morbidity during extirpative surgery of placenta previa accreta or increta. We prospectively assessed 33 consecutive patients with placenta praevia and MRI diagnosis of multifocal accreta or increta. Manual removal of the placenta was performed during a scheduled caesarean delivery. In 15 patients, surgery was preceded by balloon catheterization of the abdominal aorta (Intra Abdominal Balloon Occlusion: IABO); 18 patients refusing IABO were considered as controls. We used Fisher's exact test for categorical variables and Mann-Whitney test for continuous variables. In the IABO group we observed significant decreases in incidence of hysterectomy, estimated blood loss, number of transfused units of red blood cells, postoperative stay and admission to Intensive Care Unit. No IABO-related complications were reported. During scheduled caesarean section for placenta previa multifocally accreta or increta, IABO can prevent hysterectomy in many cases and improves perioperative outcome as it gives the operator time to achieve the haemostasis via curettage and oversewing of the implantation site with acceptable blood loss.
2012
caesarean section; placental adhesive disorders; hysterectomy; aorta occlusion
01 Pubblicazione su rivista::01a Articolo in rivista
Intraoperative aorta balloon occlusion: fertility preservation in patients with placenta previa accreta/increta / BENEDETTI PANICI, Pierluigi; Anceschi, Maurizio Marco; Borgia, Maria Luisa; Bresadola, Luciano; Masselli, Gabriele; Parasassi, Tiziana; Perrone, Giuseppina; Fetal Maternal Risk, Group*; Brunelli, Roberto; DI DONATO, Violante. - In: THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE. - ISSN 1476-7058. - STAMPA. - 25:12(2012), pp. 2512-2516. [10.3109/14767058.2012.712566]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/484100
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