TITLE:
Surgical Excision of Placenta with Lower Uterine Segment as a Conservative Management in a Case of Placenta Accreta: A Case Report
AUTHORS:
Ahmed Sherif Abdel Hamid Abdel Wahab, Mohamed Mohamed Yaseen
KEYWORDS:
Placenta Accreta, Conservative Management, Elliptical Incision, Cystostomy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.1,
January
25,
2018
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.