Fetal and maternal outcomes of segmental uterine resection in emergency and planned placenta percreta deliveries
Objective This study evaluated maternal and fetal outcomes of emergency uterine resection versus planned segmental uterine resection in patients with placenta percreta (PPC) and placenta previa (PP). Methods Patients with PP and PPC who underwent planned or emergency segmental uterine resection were...
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| Format: | Article |
| Language: | English |
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Korean Society of Obstetrics and Gynecology
2024-01-01
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| Series: | Obstetrics & Gynecology Science |
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| Online Access: | http://ogscience.org/upload/pdf/ogs-23154.pdf |
| _version_ | 1797353557337309184 |
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| author | Şükran Doğru Fatih Akkuş Aslı Altinordu Atci Ülfet Sena Metin Mehmet Uyar Ali acar |
| author_facet | Şükran Doğru Fatih Akkuş Aslı Altinordu Atci Ülfet Sena Metin Mehmet Uyar Ali acar |
| author_sort | Şükran Doğru |
| collection | DOAJ |
| description | Objective This study evaluated maternal and fetal outcomes of emergency uterine resection versus planned segmental uterine resection in patients with placenta percreta (PPC) and placenta previa (PP). Methods Patients with PP and PPC who underwent planned or emergency segmental uterine resection were included in this study. Demographic data, hemorrhagic morbidities, intra- and postoperative complications, length of hospital stay, surgical duration, and peri- and neonatal morbidities were compared. Results A total of 141 PPC and PP cases were included in this study. Twenty-five patients (17.73%) underwent emergency uterine resection, while 116 (82.27%) underwent planned segmental uterine resections. The postoperative hemoglobin changes, operation times, total blood transfusion, bladder injury, and length of hospital stay did not differ significantly between groups (P=0.7, P=0.6, P=0.9, P=0.9, and P=0.2, respectively). Fetal weights, 5-minute Apgar scores, and neonatal intensive care unit admission rates did not differ significantly between groups. The gestational age at delivery of patients presenting with bleeding was lower than that of patients who were admitted in active labor and underwent elective surgery (32 weeks [95% confidence interval [CI], 26–37] vs. 35 weeks [95% CI, 34–35]; P=0.037). Conclusion Using a multidisciplinary approach, this study performed at a tertiary center showed that maternal and fetal morbidity and mortality did not differ significantly between emergency versus planned segmental uterine resection. |
| first_indexed | 2024-03-08T13:32:46Z |
| format | Article |
| id | doaj.art-c1d7080ae6b744eeaac419e7e5aef154 |
| institution | Directory Open Access Journal |
| issn | 2287-8572 2287-8580 |
| language | English |
| last_indexed | 2024-03-08T13:32:46Z |
| publishDate | 2024-01-01 |
| publisher | Korean Society of Obstetrics and Gynecology |
| record_format | Article |
| series | Obstetrics & Gynecology Science |
| spelling | doaj.art-c1d7080ae6b744eeaac419e7e5aef1542024-01-17T07:57:54ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85722287-85802024-01-01671586610.5468/ogs.231548793Fetal and maternal outcomes of segmental uterine resection in emergency and planned placenta percreta deliveriesŞükran Doğru0Fatih Akkuş1Aslı Altinordu Atci2Ülfet Sena Metin3Mehmet Uyar4Ali acar5 Division of Perinatology, Department of Obstetrics and Gynecology, Necmettin Erbakan University Medical School of Meram, Konya, Turkey Division of Perinatology, Department of Obstetrics and Gynecology, Necmettin Erbakan University Medical School of Meram, Konya, Turkey Division of Perinatology, Department of Obstetrics and Gynecology, Necmettin Erbakan University Medical School of Meram, Konya, Turkey Department of Obstetrics and Gynecology, Necmettin Erbakan University Medical School of Meram, Konya, Turkey Department of Public Health, Necmettin Erbakan University Medical School of Meram, Konya, Turkey Department of Obstetrics and Gynecology, Necmettin Erbakan University Medical School of Meram, Konya, TurkeyObjective This study evaluated maternal and fetal outcomes of emergency uterine resection versus planned segmental uterine resection in patients with placenta percreta (PPC) and placenta previa (PP). Methods Patients with PP and PPC who underwent planned or emergency segmental uterine resection were included in this study. Demographic data, hemorrhagic morbidities, intra- and postoperative complications, length of hospital stay, surgical duration, and peri- and neonatal morbidities were compared. Results A total of 141 PPC and PP cases were included in this study. Twenty-five patients (17.73%) underwent emergency uterine resection, while 116 (82.27%) underwent planned segmental uterine resections. The postoperative hemoglobin changes, operation times, total blood transfusion, bladder injury, and length of hospital stay did not differ significantly between groups (P=0.7, P=0.6, P=0.9, P=0.9, and P=0.2, respectively). Fetal weights, 5-minute Apgar scores, and neonatal intensive care unit admission rates did not differ significantly between groups. The gestational age at delivery of patients presenting with bleeding was lower than that of patients who were admitted in active labor and underwent elective surgery (32 weeks [95% confidence interval [CI], 26–37] vs. 35 weeks [95% CI, 34–35]; P=0.037). Conclusion Using a multidisciplinary approach, this study performed at a tertiary center showed that maternal and fetal morbidity and mortality did not differ significantly between emergency versus planned segmental uterine resection.http://ogscience.org/upload/pdf/ogs-23154.pdfplacenta percretauterus-sparing surgeryemergencyplanned |
| spellingShingle | Şükran Doğru Fatih Akkuş Aslı Altinordu Atci Ülfet Sena Metin Mehmet Uyar Ali acar Fetal and maternal outcomes of segmental uterine resection in emergency and planned placenta percreta deliveries Obstetrics & Gynecology Science placenta percreta uterus-sparing surgery emergency planned |
| title | Fetal and maternal outcomes of segmental uterine resection in emergency and planned placenta percreta deliveries |
| title_full | Fetal and maternal outcomes of segmental uterine resection in emergency and planned placenta percreta deliveries |
| title_fullStr | Fetal and maternal outcomes of segmental uterine resection in emergency and planned placenta percreta deliveries |
| title_full_unstemmed | Fetal and maternal outcomes of segmental uterine resection in emergency and planned placenta percreta deliveries |
| title_short | Fetal and maternal outcomes of segmental uterine resection in emergency and planned placenta percreta deliveries |
| title_sort | fetal and maternal outcomes of segmental uterine resection in emergency and planned placenta percreta deliveries |
| topic | placenta percreta uterus-sparing surgery emergency planned |
| url | http://ogscience.org/upload/pdf/ogs-23154.pdf |
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