期刊
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
卷 92, 期 4, 页码 372-377出版社
WILEY-BLACKWELL
DOI: 10.1111/aogs.12074
关键词
Cesarean hysterectomy; cesarean section; ligation; placenta accrete; placenta previa
资金
- Grants-in-Aid for Scientific Research [24592482] Funding Source: KAKEN
For cesarean hysterectomy with placenta previa accreta, universally achievable measures are required. We propose eight measures: (i) placement of intra-iliac arterial occlusion balloon catheters; (ii) placement of ureter stents; (iii) holding the cervix to identify the site to be transected; (iv) uterine fundal incision; (v) avoidance of uterotonics; (vi) M cross double ligation for ligating the ovarian ligament; (vii) filling the bladder to identify the bladder separation site and opening the bladder for placenta previa accreta with bladder invasion; and (viii) to continue to clamp the medial side of the parametrium or the cervix or employment of the double edge pick-up to ligate it. These eight measures are simple, easy, effective, and thus universally achievable.
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