Successful Management of Two Cases of Placenta Accreta and a Literature Review: Use of the B-Lynch Suture and Bilateral Uterine Artery Ligation Procedures

Successful Management of Two Cases of Placenta Accreta and a Literature Review: Use of the B-Lynch Suture and Bilateral Uterine Artery Ligation Procedures

INTRODUCTIONPlacenta accreta is an increasingly common complication of pregnancy that can result in massive hemorrhage. CASE PRESENTATIONWe describe two cases of placenta accreta, with successful conservative management in a referral hospital in Tehran, Iran. In both cases, two procedures were perfo...

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Veröffentlicht in:Iranian Red Crescent medical journal 2016, Vol.18 (4), p.e35006-e35006
Hauptverfasser: Arab, Maliheh, Ghavami, Behnaz, Saraeian, Samaneh, Sheibani, Samaneh, Abbasian Azar, Fatemeh, Hosseini-Zijoud, Seyed-Mostafa
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container_end_page e35006
container_issue 4
container_start_page e35006
container_title Iranian Red Crescent medical journal
container_volume 18
creator Arab, Maliheh
Ghavami, Behnaz
Saraeian, Samaneh
Sheibani, Samaneh
Abbasian Azar, Fatemeh
Hosseini-Zijoud, Seyed-Mostafa
description INTRODUCTIONPlacenta accreta is an increasingly common complication of pregnancy that can result in massive hemorrhage. CASE PRESENTATIONWe describe two cases of placenta accreta, with successful conservative management in a referral hospital in Tehran, Iran. In both cases, two procedures were performed: compression suture (B-Lynch) and a perfusion-decreasing procedure (bilateral uterine artery ligation). We also present the results of a narrative literature review. CONCLUSIONSThe double B-Lynch and uterine arterial ligation procedure in cases of abnormal placentation might be strongly considered in fertility preservation, coagulopathy, coexisting medical disease, blood access shortage, low surgical experience, distant local hospitals, and no help.
doi_str_mv 10.5812/ircmj.35006
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title Successful Management of Two Cases of Placenta Accreta and a Literature Review: Use of the B-Lynch Suture and Bilateral Uterine Artery Ligation Procedures
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