Cargando…
Comparison of uterine preservation versus hysterectomy in women with placenta accreta: A cross-sectional study
BACKGROUND: Placenta accreta spectrum (PAS) is a major cause of obstetric bleeding in third trimester of pregnancy. OBJECTIVE: This study aimed to compare the outcomes of uterine preservation surgery vs. hysterectomy in women with PAS. MATERIALS AND METHODS: In this retrospective cross-sectional stu...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Knowledge E
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619124/ https://www.ncbi.nlm.nih.gov/pubmed/36340668 http://dx.doi.org/10.18502/ijrm.v20i9.12063 |
_version_ | 1784821207054417920 |
---|---|
author | Mohammad Jafari, Razieh Najafian, Mahin Barati, Mojgan Saadati, Najmieh Jalili, Zorvan Poolad, Atefeh |
author_facet | Mohammad Jafari, Razieh Najafian, Mahin Barati, Mojgan Saadati, Najmieh Jalili, Zorvan Poolad, Atefeh |
author_sort | Mohammad Jafari, Razieh |
collection | PubMed |
description | BACKGROUND: Placenta accreta spectrum (PAS) is a major cause of obstetric bleeding in third trimester of pregnancy. OBJECTIVE: This study aimed to compare the outcomes of uterine preservation surgery vs. hysterectomy in women with PAS. MATERIALS AND METHODS: In this retrospective cross-sectional study, the records of 68 women with PAS referred to the Imam Khomeini hospital in Ahvaz, Iran, between March 2015 and February 2020 were included. The women were divided into 2 groups according to surgical approach: hysterectomy vs. uterine preservation (including just removing the lower segment, removing the lower segment with uterine artery ligation, or removing the lower segment with hypogastric artery ligation during cesarean section). The need for blood components transfusion (whole blood, packed cells, and fresh frozen plasma), maternal mortality, duration of surgery, and length of hospitalization were compared between groups. RESULTS: In total, we investigated 68 women between the ages of 24-45 yr (mean age of 32.88 [Formula: see text] 5.08 yr). All participants were multiparous and underwent cesarean section. Furthermore, 28 women (41.2%) had a history of curettage. In total, 24 women (35.3%) underwent a hysterectomy, and 44 (64.7%) underwent uterine preservative surgeries. There were no significant differences between groups of hysterectomy and uterine preservative surgeries in terms of the need for blood components transfusion, maternal mortality, duration of surgery, and length of hospitalization. CONCLUSION: The results of this study showed no significant difference between groups regarding the studied outcomes. Therefore, conservative surgeries could be used to preserve the uterus instead of hysterectomy in women with PAS. |
format | Online Article Text |
id | pubmed-9619124 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Knowledge E |
record_format | MEDLINE/PubMed |
spelling | pubmed-96191242022-11-04 Comparison of uterine preservation versus hysterectomy in women with placenta accreta: A cross-sectional study Mohammad Jafari, Razieh Najafian, Mahin Barati, Mojgan Saadati, Najmieh Jalili, Zorvan Poolad, Atefeh Int J Reprod Biomed Original Article BACKGROUND: Placenta accreta spectrum (PAS) is a major cause of obstetric bleeding in third trimester of pregnancy. OBJECTIVE: This study aimed to compare the outcomes of uterine preservation surgery vs. hysterectomy in women with PAS. MATERIALS AND METHODS: In this retrospective cross-sectional study, the records of 68 women with PAS referred to the Imam Khomeini hospital in Ahvaz, Iran, between March 2015 and February 2020 were included. The women were divided into 2 groups according to surgical approach: hysterectomy vs. uterine preservation (including just removing the lower segment, removing the lower segment with uterine artery ligation, or removing the lower segment with hypogastric artery ligation during cesarean section). The need for blood components transfusion (whole blood, packed cells, and fresh frozen plasma), maternal mortality, duration of surgery, and length of hospitalization were compared between groups. RESULTS: In total, we investigated 68 women between the ages of 24-45 yr (mean age of 32.88 [Formula: see text] 5.08 yr). All participants were multiparous and underwent cesarean section. Furthermore, 28 women (41.2%) had a history of curettage. In total, 24 women (35.3%) underwent a hysterectomy, and 44 (64.7%) underwent uterine preservative surgeries. There were no significant differences between groups of hysterectomy and uterine preservative surgeries in terms of the need for blood components transfusion, maternal mortality, duration of surgery, and length of hospitalization. CONCLUSION: The results of this study showed no significant difference between groups regarding the studied outcomes. Therefore, conservative surgeries could be used to preserve the uterus instead of hysterectomy in women with PAS. Knowledge E 2022-10-10 /pmc/articles/PMC9619124/ /pubmed/36340668 http://dx.doi.org/10.18502/ijrm.v20i9.12063 Text en Copyright © 2022 Mohammad Jafari et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Mohammad Jafari, Razieh Najafian, Mahin Barati, Mojgan Saadati, Najmieh Jalili, Zorvan Poolad, Atefeh Comparison of uterine preservation versus hysterectomy in women with placenta accreta: A cross-sectional study |
title | Comparison of uterine preservation versus hysterectomy in women with placenta accreta: A cross-sectional study |
title_full | Comparison of uterine preservation versus hysterectomy in women with placenta accreta: A cross-sectional study |
title_fullStr | Comparison of uterine preservation versus hysterectomy in women with placenta accreta: A cross-sectional study |
title_full_unstemmed | Comparison of uterine preservation versus hysterectomy in women with placenta accreta: A cross-sectional study |
title_short | Comparison of uterine preservation versus hysterectomy in women with placenta accreta: A cross-sectional study |
title_sort | comparison of uterine preservation versus hysterectomy in women with placenta accreta: a cross-sectional study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619124/ https://www.ncbi.nlm.nih.gov/pubmed/36340668 http://dx.doi.org/10.18502/ijrm.v20i9.12063 |
work_keys_str_mv | AT mohammadjafarirazieh comparisonofuterinepreservationversushysterectomyinwomenwithplacentaaccretaacrosssectionalstudy AT najafianmahin comparisonofuterinepreservationversushysterectomyinwomenwithplacentaaccretaacrosssectionalstudy AT baratimojgan comparisonofuterinepreservationversushysterectomyinwomenwithplacentaaccretaacrosssectionalstudy AT saadatinajmieh comparisonofuterinepreservationversushysterectomyinwomenwithplacentaaccretaacrosssectionalstudy AT jalilizorvan comparisonofuterinepreservationversushysterectomyinwomenwithplacentaaccretaacrosssectionalstudy AT pooladatefeh comparisonofuterinepreservationversushysterectomyinwomenwithplacentaaccretaacrosssectionalstudy |