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Choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: A retrospective cohort study
BACKGROUND: A placental polyp is an intrauterine polypoid mass or pedunculated mass occurring from residual trophoblastic tissue following abortion, cesarean section or vaginal delivery. Recently uterine preservation surgery represented by transcervical resection (TCR) has been performed for placent...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635338/ https://www.ncbi.nlm.nih.gov/pubmed/29034092 http://dx.doi.org/10.1016/j.amsu.2017.09.008 |
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author | Sorano, Sumire Fukami, Tatsuya Goto, Maki Imaoka, Sakiko Ando, Miho To, Yoko Nakamura, Sumie Yamamoto, Hiroko Eguchi, Fuyuki Tsujioka, Hiroshi |
author_facet | Sorano, Sumire Fukami, Tatsuya Goto, Maki Imaoka, Sakiko Ando, Miho To, Yoko Nakamura, Sumie Yamamoto, Hiroko Eguchi, Fuyuki Tsujioka, Hiroshi |
author_sort | Sorano, Sumire |
collection | PubMed |
description | BACKGROUND: A placental polyp is an intrauterine polypoid mass or pedunculated mass occurring from residual trophoblastic tissue following abortion, cesarean section or vaginal delivery. Recently uterine preservation surgery represented by transcervical resection (TCR) has been performed for placental polyps. However TCR without intravascular intervention, including uterine artery embolization (UAE) may cause profound bleeding which necessitate emergency laparotomy. METHODS: Seventeen cases of placental polyp were retrospectively examined. We divided cases into two groups: strong vascularity group (n = 13) and weak vascularity group (n = 4). Mass extraction of polyp by TCR was conducted in 16 cases, 6 case without UAE and 10 cases with UAE. RESULTS: As for the weak vascularity group, one case was naturally resolved while planning surgery and 3 cases were treated with TCR without UAE without major intra- and/or postoperative bleeding. On the other hand in the strong vascularity group, 2 out of 3 cases of TCR without UAE resulted in major bleeding during and after the surgery, both needed transfusion and one needing postoperative UAE. Ten cases of strong vascularity group, TCR with UAE were performed and all of them were accomplished without major bleeding. TCR without UAE was safely performed in cases where there was absent or mild to moderate blood flow. CONCLUSIONS: Our report suggests that adding UAE might be safer to treat placental polyps that have strong vascularity. |
format | Online Article Text |
id | pubmed-5635338 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-56353382017-10-13 Choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: A retrospective cohort study Sorano, Sumire Fukami, Tatsuya Goto, Maki Imaoka, Sakiko Ando, Miho To, Yoko Nakamura, Sumie Yamamoto, Hiroko Eguchi, Fuyuki Tsujioka, Hiroshi Ann Med Surg (Lond) Original Research BACKGROUND: A placental polyp is an intrauterine polypoid mass or pedunculated mass occurring from residual trophoblastic tissue following abortion, cesarean section or vaginal delivery. Recently uterine preservation surgery represented by transcervical resection (TCR) has been performed for placental polyps. However TCR without intravascular intervention, including uterine artery embolization (UAE) may cause profound bleeding which necessitate emergency laparotomy. METHODS: Seventeen cases of placental polyp were retrospectively examined. We divided cases into two groups: strong vascularity group (n = 13) and weak vascularity group (n = 4). Mass extraction of polyp by TCR was conducted in 16 cases, 6 case without UAE and 10 cases with UAE. RESULTS: As for the weak vascularity group, one case was naturally resolved while planning surgery and 3 cases were treated with TCR without UAE without major intra- and/or postoperative bleeding. On the other hand in the strong vascularity group, 2 out of 3 cases of TCR without UAE resulted in major bleeding during and after the surgery, both needed transfusion and one needing postoperative UAE. Ten cases of strong vascularity group, TCR with UAE were performed and all of them were accomplished without major bleeding. TCR without UAE was safely performed in cases where there was absent or mild to moderate blood flow. CONCLUSIONS: Our report suggests that adding UAE might be safer to treat placental polyps that have strong vascularity. Elsevier 2017-09-28 /pmc/articles/PMC5635338/ /pubmed/29034092 http://dx.doi.org/10.1016/j.amsu.2017.09.008 Text en © 2017 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Sorano, Sumire Fukami, Tatsuya Goto, Maki Imaoka, Sakiko Ando, Miho To, Yoko Nakamura, Sumie Yamamoto, Hiroko Eguchi, Fuyuki Tsujioka, Hiroshi Choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: A retrospective cohort study |
title | Choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: A retrospective cohort study |
title_full | Choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: A retrospective cohort study |
title_fullStr | Choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: A retrospective cohort study |
title_full_unstemmed | Choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: A retrospective cohort study |
title_short | Choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: A retrospective cohort study |
title_sort | choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: a retrospective cohort study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635338/ https://www.ncbi.nlm.nih.gov/pubmed/29034092 http://dx.doi.org/10.1016/j.amsu.2017.09.008 |
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