Outcome of delayed hysterectomy for placenta percreta in a tertiary care center of a third world country— a descriptive study
DOI:
https://doi.org/10.59058/jaimc.v21i1.90Keywords:
placenta percretaAbstract
Objective: To analyze the amount of hemorrhage, damage to the surrounding structures, need for transfusions, PPH, sepsis and mortalities arising as a result of delayed hysterectomies for Placenta Percreta.
Material and method: It is a descriptve study. Data is taken from specially maintained registers for placenta accreta spectrum. Patients undergoing delayed hysterectomies for in operable placenta percretas were selected and their data regarding the mentioned outcome measures was collected and analysed in SPSS system for statistics. The study period is of one year.
Results: Thirteen patients underwent delayed hysterectomy in one year. More than half of the patients had four ltr or less blood loss. They showed better response to haemorrhage. No relationship of amount of bleeding with interval between the surgeries, previous surgeries or parity was noted. No ureterovesical damage. No sepsis. PPH was noted in 15% of patients and mild spotting in 15%. One mortality of a morbidly obese patient. No death could be attributed to retention of placenta.
Conclusion: Encouraging results were seen where patient survival was concerned. Excellent results were noted where collateral damage to bladder and ureters was concerned. Minimum complications were noted, making this a viable option for patients with placenta Percreta, the most serious placental condition within the placenta accreta spectrum.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Alia Zainab Asad, Humna Sajid Sial, Hina Masood, Filza Mukhtar, Fatima Shahzad, Mobeen Riaz, Noreen Iqbal
This work is licensed under a Creative Commons Attribution 4.0 International License.
The articles published in this journal come under creative commons licence Attribution 4.0 International (CC BY 4.0) which allows to copy and redistribute the material in any medium or format Adapt — remix, transform, and build upon the material for any purpose, even commercially under following terms.
-
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
The editorial board of the Journal strives hard for the authenticity and accuracy of the material published in the Journal. However, findings and statements are views of the authors and do not necessarily represent views of the Editorial Board. Many software like (Google Maps, Google Earth, Biorender (free version)) restricts the free distribution of materials prepared using these softwares. Therefore, authors are strongly advised to check the license/copyright information of the software used to prepare maps/images. In case of publication of copyright material, the correction will be published in one of the subsequent issues of the Journal, and the authors will bear the printing cost.
