Conservative Management of Invasive Placentation: Two Cases with Different Surgical Approaches
Abstract Background When placenta accreta complicates a delivery, the typical management is to perform a cesarean hysterectomy. Other management strategies, including leaving the placenta in situ, have been attempted and supported in some cases. This may allow for an interval hysterecto...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2016-06-01
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| Series: | American Journal of Perinatology Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1584232 |
| _version_ | 1818497126801342464 |
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| author | Emily E. Fay Barbara Norquist Jennifer Jolley Melissa Hardesty |
| author_facet | Emily E. Fay Barbara Norquist Jennifer Jolley Melissa Hardesty |
| author_sort | Emily E. Fay |
| collection | DOAJ |
| description | Abstract
Background When placenta accreta complicates a delivery, the typical management is to perform a cesarean hysterectomy. Other management strategies, including leaving the placenta in situ, have been attempted and supported in some cases. This may allow for an interval hysterectomy, which can potentially decrease average blood loss and/or allow a minimally invasive approach to the hysterectomy.
Cases We present two cases of women with invasive placentation managed conservatively with interval hysterectomy. One woman was managed with robotic-assisted laparoscopic surgery and the other with an open surgical approach.
Conclusion These cases highlight the successful use of conservative management for invasive placentation in two stable patients and showcase the novel use of a robotic-assisted laparoscopic surgery for management of invasive placentation. |
| first_indexed | 2024-12-10T18:41:29Z |
| format | Article |
| id | doaj.art-1a68f782fc0c469ca24c6056e2745cf7 |
| institution | Directory Open Access Journal |
| issn | 2157-6998 2157-7005 |
| language | English |
| last_indexed | 2024-12-10T18:41:29Z |
| publishDate | 2016-06-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | American Journal of Perinatology Reports |
| spelling | doaj.art-1a68f782fc0c469ca24c6056e2745cf72022-12-22T01:37:38ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052016-06-010602e212e21510.1055/s-0036-1584232Conservative Management of Invasive Placentation: Two Cases with Different Surgical ApproachesEmily E. Fay0Barbara Norquist1Jennifer Jolley2Melissa Hardesty3Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WashingtonDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WashingtonDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WashingtonDivision of Gynecologic Oncology, Alaska Women's Cancer Care, Anchorage, AlaskaAbstract Background When placenta accreta complicates a delivery, the typical management is to perform a cesarean hysterectomy. Other management strategies, including leaving the placenta in situ, have been attempted and supported in some cases. This may allow for an interval hysterectomy, which can potentially decrease average blood loss and/or allow a minimally invasive approach to the hysterectomy. Cases We present two cases of women with invasive placentation managed conservatively with interval hysterectomy. One woman was managed with robotic-assisted laparoscopic surgery and the other with an open surgical approach. Conclusion These cases highlight the successful use of conservative management for invasive placentation in two stable patients and showcase the novel use of a robotic-assisted laparoscopic surgery for management of invasive placentation.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1584232placenta accretainvasive placentacesarean hysterectomyrobotic surgery |
| spellingShingle | Emily E. Fay Barbara Norquist Jennifer Jolley Melissa Hardesty Conservative Management of Invasive Placentation: Two Cases with Different Surgical Approaches American Journal of Perinatology Reports placenta accreta invasive placenta cesarean hysterectomy robotic surgery |
| title | Conservative Management of Invasive Placentation: Two Cases with Different Surgical Approaches |
| title_full | Conservative Management of Invasive Placentation: Two Cases with Different Surgical Approaches |
| title_fullStr | Conservative Management of Invasive Placentation: Two Cases with Different Surgical Approaches |
| title_full_unstemmed | Conservative Management of Invasive Placentation: Two Cases with Different Surgical Approaches |
| title_short | Conservative Management of Invasive Placentation: Two Cases with Different Surgical Approaches |
| title_sort | conservative management of invasive placentation two cases with different surgical approaches |
| topic | placenta accreta invasive placenta cesarean hysterectomy robotic surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1584232 |
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