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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2016, Number 04

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Ginecol Obstet Mex 2016; 84 (04)

Obstetric hysterectomy in patients with accreta, increta and percreta placentae: comparison of two surgical techniques

Ortiz-Villalobos RC, Bañuelos-Franco A, Serrano-Enriquez EF, Mejía-Mendoza ML, Laureano-Eugenio J
Full text How to cite this article

Language: Spanish
References: 15
Page: 209-216
PDF size: 344.37 Kb.


Key words:

Obstetric hysterectomy, obstetric hemorrhage, placenta accreta.

ABSTRACT

Objetive: To analyze the maternal-fetal surgical complications techniques utilizing two obstetric hysterectomy in patients with placenta accreta, increta or percreta, in the Hospital General de Occidente, Jalisco, Mexico during the period 2011 to 2014.
Material and Methods: observational, descriptive, cross-sectional study, analyzing maternal and fetal complications in all patients diagnosed with placenta accreta, increta or percreta, intervened with two surgical techniques obstetric hysterectomy, during the period January 2011 to December 2014, using clinical records to identify the study variables. The data were analyzed on Epi-Info 7 calculating frequencies, percentages, measures of central tendency and dispersion, also resorting to the use of a hypothesis test for mean difference bleeding.
Results: There were 71 obstetric hysterectomies, 47.88% were identified by placenta accreta, increta or percreta, of which 47.05% were operated with modified technique (group 1) and 52.95% with the conventional technique (group 2). The mean ages of the groups were 31.56 in group 1 and 29.44 in group 2. Statistically the bleeding with the modified surgical technique it is less than the bleeding conventional technique
Conclusions: The results serves two main purposes: to save the life of the patient and cause the least amount of side morbidity are placental problems, both the mother and the newborn, highlighting minor bleeding from a technique to another.


REFERENCES

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Ginecol Obstet Mex. 2016;84