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Acta médica Grupo Ángeles
Print version ISSN 1870-7203
Abstract
HERNANDEZ SALAZAR, Francisco; TINOCO TELLEZ, Luis; HUERTA J LUCAS, Ma. Teresa and DOMINGUEZ CARRILLO, Luis Gerardo. Hypogastric arteries clamping: Strategy for obstetric hemorrhage preventing in placenta accrete. Acta méd. Grupo Ángeles [online]. 2021, vol.19, n.2, pp.214-220. Epub Nov 23, 2021. ISSN 1870-7203. https://doi.org/10.35366/100445.
Objective:
To present a new surgical alternative to reduce obstetric hemorrhage in cases of placenta previa-accreta, by means of temporary impingement at the hypogastric arteries, prior to the performance of caesarean-hysterectomy.
Material and methods:
Seven patients who attended pregnancy control were managed in a third-level care private institution, in whom obstetric ultrasound detected placenta previa accreta, and collecting demographic, clinical and diagnostic data.
Results:
On average, the gestational age at which the cesarean section-hysterectomy was performed was at 35 weeks with variation between weeks 34.5 and 37; in terms of intraoperative bleeding, in five cases it was 200 mL, one case with 150 mL and one case with 800 mL; surgical times varied from 90 to 106 minutes. In all cases, live products were obtained with Apgar and Silverman-Anderson assessment within the normal ranges; for all patients the hospital stay was two days.
Conclusions:
Temporary clamping of the hypogastric arteries, prior to caesarean-hysterectomy, shows usefulness in the resolution of cases with placental accreta.
Keywords : Placental accreta; obstetric hemorrhage; obstetric caesarean-hysterectomy; previous placenta; hypogastric arteries clamping.