medigraphic.com
SPANISH

Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2018, Number 06

<< Back Next >>

Ginecol Obstet Mex 2018; 86 (06)

Placental accreta with predictive and preventive approach to obstetric hemorrhage

García-de la Torre JI, González-Cantú G, Rodríguez-ValdézA, Mujica-Torres A, Villa-Ponce D, Aguilar-Zamudio J
Full text How to cite this article

Language: Spanish
References: 10
Page: 357-367
PDF size: 588.42 Kb.


Key words:

Cesarean section, curettage, surgical time, maternal death, fetal results.

ABSTRACT

Objective: Expose the medical and surgical treatment indicated in the University Hospital of Saltillo to patients with placental accreta.
Material and Method: A retrospective, cross-sectional and analytical study, patients treated with a predictive and preventive approach of obstetric hemorrhage were studied in Hospital Universitario de Saltillo during 2015-2017.
Results: 10 patients were included, with a mean age of 31 years, 70% had a history of cesarean section and 50% curettage. Transurgical bleeding averaged 1067 cc, an average surgical time of 3.6 hrs, average of transfusion of erythrocyte concentrates was 2.3, Apgar of newborns was reported ≥7, no surgical reoperation was required, no cases were found of maternal death.
Conclusions: Although the size of the sample is small, we will continue to collect data on what happened with other patients. It is essential to study more cases to have evidence of our treatment proposal with even more solid evidence. There is also a need for prolonged follow-up of patients to determine whether there are late complications or not.


REFERENCES

  1. ACOG Committee Opinion No. 529. Placenta accreta. American College of Obstetricians and Gynecologists. Obstet Gynecol 2012;120:207-11.

  2. Perelló M, Mula R, López M, Sebastia MC. Anomalías placentarias (placenta previa, placenta acreta y vasa previa) y manejo de la hemorragia de tercer trimestre. Clínic Barcelona 2012. https://medicinafetalbarcelona.org/protocolos/ es/patologia-materna-obstetrica/placenta%20previa%20 y%20otras%20anomal%C3%ADas.%20hemorragia%20 3er%20t.pdf

  3. Sumano E, Veloz M, Vázquez J, Becerra G, Jiménez C. Histerectomía programada vs histerectomía de urgencia en pacientes con placenta acreta, en una unidad médica de alta especialidad. Cir Cir 2015;83(4):303-308.

  4. Muñiz M, Álvarez V, Cutié W. Acretismo placentario. Rev Cubana Obstet Ginecol 2015;41(2):190-196.

  5. Jauniaux E, Collins S, Jurkovic D, Burton G. Accreta placentation: a systematic review of prenatal ultrasound imaging and grading of villous invasiveness. Am J Obstet Gynecol. 2016;215:712-21. doi: https://doi.org/10.1016/j. ajog.2016.07.044.

  6. Sánchez-Peña R, García-Padilla FE, Corona-Gutiérrez AA, Sánchez-García BF. Técnica cesárea-histerectomía modifi cada para el tratamiento del acretismo placentario. Ginecol Obstet Mex 2014;82(02):105-110.

  7. Castelazo-Morales E, Monzalbo-Núñez DE, López-Rioja MJ, Castelazo-Alatorre S. Acretismo placentario, una de las repercusiones de la obstetricia moderna. Ginecol Obstet Mex 2013;81(09):525-529.

  8. Dannheim K, A. Shainker S, Hecht J. Hysterectomy for placenta accreta; methods for gross and microscopic pathology examination. Arch Gynecol Obstet. 2016;293:951-8. https://doi.org/10.1007/s00404-015-4006-5.

  9. Maroto A, Costa J, Morillas B, et. al. Tratamiento conservador del acretismo placentario. Prog Obstet Ginecol 2012;55(8):393-398.

  10. Bautista-Gómez E, Morales-García V, Hernández-Cuevas J, Calvo-Aguilar O, Flores-Romero AL, Santos-Pérez U. Una alternativa quirúrgica para acretismo placentario. Ginecol Obstet Mex 2011;79(5):298-302.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2018;86