2022 Volume 72 Issue 3 Pages 115-119
Abstract:Placenta accreta is one of the most common obstetric complications;it causes massive hemorrhage that is sometimes life-threatening to the mother. Known risk factors include previous cesarean section and placenta previa. In our department, for patients who are strongly suspected of having placenta accreta via diagnostic imaging and the presence of risk factors, we perform, after autologous blood storage, cesarean section （transverse incision at the uterine fundus） after using ultrasound to determine a site other than the location of the placenta, followed by hysterectomy with a resuscitative endovascular balloon occlusion of the aorta （REBOA）. A study of 37 cases of placenta accreta requiring hysterectomy from 2003 to 2022 confirmed the safety and efficacy of REBOA in reducing the amount of blood loss during total cesarean hysterectomy without increasing the operative time. We will continue to manage difficult deliveries using a multidisciplinary approach, directed by expert obstetrical surgeons, in order to ensure safe childbirths.
