Retrospective analysis of placenta accreta: management strategies - evaluation of 41 cases

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dc.contributor.authorEvsen, Mehmet Siddik
dc.contributor.authorSak, Muhamment Erdal
dc.contributor.authorSoydinc, Hatice Ender
dc.contributor.authorCaca, Fatma Nur
dc.contributor.authorObut, Mehmet
dc.contributor.authorGul, Talip
dc.date.accessioned2024-04-24T17:37:59Z
dc.date.available2024-04-24T17:37:59Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: The aim of the study was to evaluate maternal characteristics, surgical treatment options, and morbidity of patients with placenta accreta. Methods: We retrospectively reviewed the medical records of placenta accreta patients who were diagnosed and hospitalized between 2006 and 2010 at the Obstetrics and Gynecology Clinics of the Dicle University Hospital (Center A) and Maternity Hospital (Center B) in Diyarbakir, Turkey The data were retrieved from medical charts of both hospitals. Maternal demographic features, clinical outcomes, type of surgical intervention, and complications were evaluated. Results: The incidence of placenta accreta was 1/426 deliveries in Center A and 1/7573 deliveries in Center B over a 5-year period. Thirty-nine (95.1%) patients had placenta previa, and 32 (78.0%) patients had at least one previous cesarean delivery Hysterectomy was performed in 28 (68.3%) of 41 women with placenta accreta and uterine preservation was achieved in 13 (31.7%) of them. One (2.4%) maternal death occurred, Estimated blood loss was >2 liters and all patients required blood products transfusion. Conclusion: Placenta accreta is highly associated with the existence of placenta previa, especially in cases with previous cesarean delivery When placenta accreta is diagnosed or suspected, the patient should be referred to a tertiary center for optimum care, where the obstetrical team should include experienced pelvic surgeons who are capable of performing emergent hysterectomy internal iliac artery ligation, and uterine devascularization procedures.en_US
dc.identifier.endpage504en_US
dc.identifier.issn0017-0011
dc.identifier.issn2543-6767
dc.identifier.issue7en_US
dc.identifier.pmid22880473
dc.identifier.scopus2-s2.0-84865812789
dc.identifier.scopusqualityQ3
dc.identifier.startpage501en_US
dc.identifier.urihttps://hdl.handle.net/11468/21276
dc.identifier.volume83en_US
dc.identifier.wosWOS:000306098700002
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.ispartofGinekologia Polska
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPlacenta Accretaen_US
dc.subjectIncidenceen_US
dc.subjectSurgeryen_US
dc.subjectCesarean Sectionen_US
dc.titleRetrospective analysis of placenta accreta: management strategies - evaluation of 41 casesen_US
dc.titleRetrospective analysis of placenta accreta: management strategies - evaluation of 41 cases
dc.typeArticleen_US

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