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Archives of Gynecology and Obstetrics

Erschienen in:

21.07.2017 | Maternal-Fetal Medicine

Evaluation of a modified “Triple-P” procedure in women with morbidly adherent placenta after previous caesarean section

verfasst von: Yanxing Wei, Yanwen Cao, Yanhong Yu, Zhijian Wang

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2017

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Abstract

Aim

To describe a modified “Triple-P” procedure and evaluate its outcome in women with morbidly adherent placenta (MAP) after previous caesarean section (CS).

Methods

A retrospective cohort study of 96 women with MAP after CS was recruited with 45 women receiving the modified “Triple-P” procedure as study group and the other 51 cases receiving the conventional managements as the control. The maternal outcomes were compared.

Results

The modified “Triple-P” procedure was described in step by step. Women in study group demonstrated reduction of blood loss, transfusion blood volume and operation time, as well as less hospital days and lower hospitalization cost (P < 0.05). In addition, there was no difference in uterine healing rate, hysterectomy rate, and ICU transferring rate (P > 0.05).

Conclusion

Our modified “Triple-P” procedure for MAP after previous CS maintained the advantages of Chandraharan’s “Triple-P” procedure in preservation of uterus for further fertility, less intraoperative blood loss, shorter hospital stays, and lower hospitalization cost but also advanced in feasibility and convenience during introducing into routine clinical practice.

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Titel: Evaluation of a modified “Triple-P” procedure in women with morbidly adherent placenta after previous caesarean section
verfasst von: Yanxing Wei
Yanwen Cao
Yanhong Yu
Zhijian Wang
Publikationsdatum: 21.07.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 4/2017
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-017-4447-0

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Springer Medizin

Evaluation of a modified “Triple-P” procedure in women with morbidly adherent placenta after previous caesarean section

Abstract