Planned cesarean hysterectomy versus modified form of segmental resection in patients with placenta percreta.

OBJECTIVES

The aim of this study was to compare some clinical characteristics of two different management alternatives in pregnants with placental invasion anomalies.

METHODS

We conducted a single-center retrospective study of all patients who delivered with invasive placentation between January 2016 and May 2017. We included only the patients with placental invasion anomaly and planned cesarean section.

RESULTS

Fifty-one pregnants met the inclusion criteria. Cesarean hysterectomy was performed in 29 patients and segmental resection in 22. Major intraoperative and postoperative complications were comparable between the two groups. There were significant differences between the groups with regard to gravidity, pre- and post-operative hemoglobin concentrations, number of packed red blood cell transfused, and operation time (p < .05).

CONCLUSIONS

An initial fertility conserving surgical procedure is an option in patients with extensive invasive placentation with lesser transfusion requirement and shorter operative time compared to cesarean hysterectomy.