Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
232 2 |
Ultima descărcare din IBN: 2023-11-23 23:22 |
SM ISO690:2012 FRUNZE, Ana, CATRINICI, Rodica. Surgical approach in management of placenta accreta. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 428. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 428-428 | ||||||
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Background. The placenta accreta is the leading cause of hysterectomy among women of childbearing potential, with deaths of up to 7% due to massive postpartum hemorrhage. The incidence increases due to intervention on the uterus having a negative impact on female reproductive health. Aim of the study. The description of the surgical techniques of treatment of the placenta accreta for the decrease the maternal morbidity and mortality as well as increasing the quality of life. Materials and methods. The international databases were researched: Cambridge Journals Online, Google Scholar, PubMed on the management of placenta accreta, analyzing the publications from 2017–2022. The search was performed using keywords: placenta accreta, obstetric hemorrhage, surgical techniques. Results and discussions. In the literature, four main methods of surgical management have been described: a) the technique of removal (manual removal) of the placenta; b) the modified radical peripartum cesarean hysterectomy (Soleymani-Alazzam-Collins technique); c) conservative surgery in one step (removal of the acrid area); and d) the Triple-P procedure (suturing around the accreted area after resection). These methods have been used alone or in combination and in many cases with additional procedures such as interventional radiology. Conclusion. Prenatal diagnosis is essential, and the management of these clinical cases must be well planned by an experienced multidisciplinary team to reduce the potential for maternal and neonatal morbidity and mortality, as well as maintaining fertility. |
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Cuvinte-cheie placenta accreta, obstetric hemorrhage, surgical techniques, placenta accreta, hemoragie obstetricală, tehnici chirurgicale |
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