Słomko Z, Kedzia H, Friebe Z
Instytutu Ginekologii i Połoznictwa Akademii Medycznej w Poznaniu.
Ginekol Pol. 1994 Jun;65(6):326-30.
Rapid accumulation of blood from placental separation site during cesarean delivery for placenta accreta obscures the surgical field and quickly leads to deterioration of the patient's vital signs. In turn, these conditions such as uterine rupture, placenta previa, placenta accreta, increase the risk of hysterectomy, blood transfusions and prolonged hospital stay. We used the following technique in one case of intractable bleeding during cesarean for placenta accreta. Following failure to control the bleeding by suture at the placental separation site via the lower segment cesarean incision, the lower uterine segment with the abnormal adherence of placenta to myometrium, was excised. Our experience suggests that this technique could reduce the use of hysterectomy in cesarean for some cases of placenta accreta.
在剖宫产术中处理胎盘植入时，胎盘剥离部位迅速出血，会使手术视野模糊，并迅速导致患者生命体征恶化。反过来，诸如子宫破裂、前置胎盘、胎盘植入等情况会增加子宫切除、输血和延长住院时间的风险。在一例剖宫产术中处理胎盘植入导致的顽固性出血病例中，我们采用了以下技术。经下段剖宫产切口在胎盘剥离部位缝合止血失败后，切除了胎盘与子宫肌层异常粘连的子宫下段。我们的经验表明，对于某些胎盘植入病例，该技术可减少剖宫产术中子宫切除的使用。
