Surgical Excision of Placenta with Lower Uterine Segment as a Conservative Management in a Case of Placenta Accreta: A Case Report - Open Journal of Obstetrics and Gynecology

OJOG > Vol.8 No.1, January 2018

Surgical Excision of Placenta with Lower Uterine Segment as a Conservative Management in a Case of Placenta Accreta: A Case Report ()

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DOI: 10.4236/ojog.2018.81008 1,362 Downloads 3,887 Views

Author(s)

Ahmed Sherif Abdel Hamid Abdel Wahab^1*, Mohamed Mohamed Yaseen²

Affiliation(s)

¹Department of Obstetrics & Gynecology, Ain-Shams University, Cairo, Egypt.
²Department of Urology, Ain-Shams University, Cairo, Egypt.

ABSTRACT

Introduction: Placenta accreta is due to invasive placental implantation. It is diagnosed when there is failure of delivery of a retained placenta. This is usually complicated by massive intrapartum hemorrhage that ends by hysterectomy. Case: We report a case of conservative management in a case of placenta accreta involving an elliptical shape incision of the lower segment with removal of placenta with underlying lower uterine segment in a stable patient desiring future fertility. Conclusion: Conservative management may be valid in carefully selected cases of placenta accreta diagnosed pre-operatively in tertiary hospitals with availability of blood-bank and multi-disciplinary approach.

KEYWORDS

Placenta Accreta, Conservative Management, Elliptical Incision, Cystostomy

Share and Cite:

Wahab, A. and Yaseen, M. (2018) Surgical Excision of Placenta with Lower Uterine Segment as a Conservative Management in a Case of Placenta Accreta: A Case Report. Open Journal of Obstetrics and Gynecology, 8, 63-68. doi: 10.4236/ojog.2018.81008.

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