Document Detail

Important surgical measures and techniques at cesarean hysterectomy for placenta previa accreta.
MedLine Citation:
PMID:  23323568     Owner:  NLM     Status:  MEDLINE    
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".
Shigeki Matsubara; Tomoyuki Kuwata; Rie Usui; Takashi Watanabe; Akio Izumi; Akihide Ohkuchi; Mitsuaki Suzuki; Manabu Nakata
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Publication Detail:
Type:  Journal Article     Date:  2013-02-12
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  92     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-22     Completed Date:  2013-06-04     Revised Date:  2014-01-13    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  372-7     Citation Subset:  IM    
Copyright Information:
© 2013 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.
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MeSH Terms
Balloon Occlusion / statistics & numerical data
Blood Loss, Surgical / prevention & control
Catheterization / statistics & numerical data
Cesarean Section / methods*,  statistics & numerical data
Hemostasis, Surgical / methods
Hysterectomy / methods*,  statistics & numerical data
Placenta Accreta / epidemiology*,  surgery*
Placenta Previa / epidemiology*,  surgery*
Pregnancy Outcome
Uterine Hemorrhage / prevention & control
Young Adult
Comment In:
Acta Obstet Gynecol Scand. 2013 Dec;92(12):1430-1   [PMID:  23941157 ]
Acta Obstet Gynecol Scand. 2013 Nov;92(11):1338   [PMID:  23869593 ]
Acta Obstet Gynecol Scand. 2013 Nov;92(11):1339   [PMID:  23889350 ]
Acta Obstet Gynecol Scand. 2013 Dec;92(12):1431-2   [PMID:  23962391 ]

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