Urologic considerations of placenta accreta: a contemporary tertiary care institutional experience.
Urol Int
; 93(1): 74-9, 2014.
Article
em En
| MEDLINE
| ID: mdl-24732915
ABSTRACT
BACKGROUND:
As the incidence of cesarean delivery has increased, we are experiencing a higher incidence of subsequent placenta accreta and the associated complications, including urologic complications.METHODS:
This is a retrospective review of all patients delivered from 2000 to 2011 with a histologically proven diagnosis of placenta accreta. Data were analyzed for baseline maternal characteristics, intraoperative and postoperative outcomes and complications.RESULTS:
83 patients were included in the analysis. The depth of placenta accreta invasion varied in the cohort, with 48, 25 and 27% being classified as placenta accreta, placenta increta and placenta percreta, respectively. 88% of patients had had a previous cesarean delivery, and 58% had more than one prior operative delivery. Cystotomy was encountered in 27% of patients and ureteral injury occurred in 4%. Degree of placenta accreta invasion, number of prior cesarean deliveries and intraoperative blood loss were associated with a higher likelihood of urologic injury.CONCLUSIONS:
Urologic injuries are among the most frequently encountered intraoperative complications of placenta accreta. Surgeons involved in these cases need to be aware of this risk and maintain a high level of surveillance intraoperatively.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Placenta Acreta
/
Doenças Urológicas
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Female
/
Humans
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Middle aged
/
Pregnancy
Idioma:
En
Revista:
Urol Int
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Estados Unidos