Vascular control by infrarenal aortic cross‐clamping in placenta accreta spectrum disorders: description of technique

Vascular control by infrarenal aortic cross‐clamping in placenta accreta spectrum disorders: description of technique

We describe a novel surgical technique in 31 women with histopathologically confirmed placenta accreta spectrum (PAS) disorders managed by a multidisciplinary team using a prophylactic infrarenal abdominal aortic cross‐clamping technique during caesarean hysterectomy. We conclude that this new surgi...

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Veröffentlicht in:BJOG : an international journal of obstetrics and gynaecology 2021-05, Vol.128 (6), p.1030-1034
Hauptverfasser: Chou, M‐M, Chen, M‐J, Su, H‐W, Chan, C‐W, Kung, H‐F, Tseng, J‐J, Chen, W‐C, Chen, Y‐F, Yuan, J‐C
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aorta
Aorta, Abdominal
Blood Loss, Surgical - prevention & control
Caesarean hysterectomy
Cesarean section
Cesarean Section - adverse effects
Cesarean Section - methods
Constriction
Duration of Therapy
Female
Gynecological surgery
Hemorrhage
Hemostasis, Surgical - methods
Humans
Hysterectomy
Hysterectomy - adverse effects
Hysterectomy - methods
infrarenal aortic cross‐clamping
Outcome Assessment, Health Care
Patient Care Team
Placenta
Placenta Accreta - diagnosis
Placenta Accreta - surgery
placenta accreta spectrum disorders
Postpartum Hemorrhage - etiology
Postpartum Hemorrhage - prevention & control
Pregnancy
Pregnancy complications
Prevention
Surgical techniques
Taiwan
Ultrasonography, Doppler, Color - methods
Veins & arteries
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Beschreibung
Zusammenfassung:We describe a novel surgical technique in 31 women with histopathologically confirmed placenta accreta spectrum (PAS) disorders managed by a multidisciplinary team using a prophylactic infrarenal abdominal aortic cross‐clamping technique during caesarean hysterectomy. We conclude that this new surgical procedure is a relatively safe technique to potentially control operative blood loss. Our work may stimulate others to develop protocols assessing this innovative technique to improve the surgical outcome of PAS disorders.
ISSN:1470-0328
1471-0528
DOI:10.1111/1471-0528.16605