International Journal of Women's Health and Reproduction Sciences

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Apr 2016, Vol 4, Issue 2

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Case Report
Conservative Treatment of a Placenta Accreta Case: Partial Segmental Uterine Resection
Hicran Acar¹, Fatma Ferda Verit², Seyda Baydogan², Orkun Cetin³, Mertihan Kurdoglu³
¹Department of Obstetrics and Gynecology, Zeynep Kamil Education and Research Hospital, Istanbul, Turkey ²Department of Obstetrics and Gynecology, Süleymaniye Education and Research Hospital, Istanbul, Turkey ³Department of Obstetrics and Gynecology, Yüzüncü Yıl University, Faculty of Medicine, Van, Turkey
IJWHR 2016; 4: 084-085 DOI: 10.15296/ijwhr.2016.20 Viewed : 4303 times Downloaded : 3518 times. Keywords : Placenta accreta, Conservative treatment, Segmental resection
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Abstract

Introduction: Placenta accreta (PA) is defined as the penetration of trophoblastic tissue into the myometrium. We aimed to report a case of PA which was successfully managed with partial segmental resection of uterus. Case Presentation: A 23 years old women gravida 2, parity 1, referred to our hospital for placental retention after vaginal delivery. The intraoperative exploration showed that the placenta remained in the right part of the uterine. According to these findings, the initial diagnosis was PA. The placenta and the uterine wall were removed in one piece. The uterine wall was reconstructed by vicyrl no:1 in a three layer closure. Bilateral uterine artery ligation was performed in order to prevent excess uterus bleeding. Then, modified b-lynch suture was performed for prophylaxis of atonia. Conclusion: Nowadays, conserving the uterus, avoiding the possibility of hemorrhage and making future pregnancies possible are the main objectives of conservative treatments in PA. Partial segmental uterine resection is an alternative, conservative and acceptable management option in selected cases of PA.