21 July 2020 : Clinical Research
Use of Anti-Arcuate Compression Suturing in Pernicious Placenta Previa with Accrete Spectrum Disorders: A Surgical Technique
Yongmei Li1BCDE, Xufeng Luan1ABE, Chang Zhou1ABD, Xiao Wu1AD, Lan Peng1AD, Yun Wang1DG, Dali Chen1ABDEG*DOI: 10.12659/MSM.922958
Med Sci Monit 2020; 26:e922958
Abstract
BACKGROUND: The aim of this study was to investigate the clinical effect of anti-arcuate suture in treating pernicious placenta previa.
MATERIAL AND METHODS: We selected 81 patients diagnosed with singleton pregnancy with pernicious placenta previa at Suzhou Municipal Hospital from January 2015 to December 2018. Among them, 41 patients treated with anti-arcuate suture were assigned to the study group, and the other 40 patients were treated with conventional suture were assigned to the control group.
RESULTS: Compared with traditional suture, anti-arcuate suture significantly reduced blood loss and blood transfusion, and anti-arcuate suture also reduced postoperative complications. In the control group, 7 women underwent hysterectomy, but only 1 woman underwent hysterectomy in the study group.
CONCLUSIONS: Anti-arcuate suture in pernicious placenta previa can reduce postpartum hemorrhage and reduce postoperative complications.
Keywords: Placenta Accreta, Placenta Previa, Postpartum Hemorrhage
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