Uterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.33590/emjreprohealth/21-00007 http://hdl.handle.net/1843/54394 https://orcid.org/0000-0002-2535-3473 https://orcid.org/0000-0002-5859-0635 https://orcid.org/0000-0001-5223-8051 https://orcid.org/0000-0003-4198-0546 https://orcid.org/0000-0003-1631-5464 |
Resumo: | Placenta accreta spectrum is a serious obstetric condition related to abnormal adherence of placental tissue to the myometrium and high maternal and fetal morbidity. In order to achieve the best outcome, the management of this condition must be carried out by an experienced multidisciplinary team and the individual characteristics of the patient must be taken into consideration, such as comorbidities and desire for reproductive preservation. This case report presents the conservative surgical management of placenta accreta spectrum in a 23-year-old patient who underwent an elective caesarean section with uterine preservation because of anterior placenta increta. The authors performed a transverse uterine incision at the fundus with transitory uterine devascularisation of the lower uterine segment with partial myometrial removal. This technique was successful for controlling the haemorrhage and preserving the uterus, with no complications. |
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2023-06-02T19:36:33Z2023-06-02T19:36:33Z2021-08-10715459https://doi.org/10.33590/emjreprohealth/21-000072059-450Xhttp://hdl.handle.net/1843/54394https://orcid.org/0000-0002-2535-3473https://orcid.org/0000-0002-5859-0635https://orcid.org/0000-0001-5223-8051https://orcid.org/0000-0003-4198-0546https://orcid.org/0000-0003-1631-5464Placenta accreta spectrum is a serious obstetric condition related to abnormal adherence of placental tissue to the myometrium and high maternal and fetal morbidity. In order to achieve the best outcome, the management of this condition must be carried out by an experienced multidisciplinary team and the individual characteristics of the patient must be taken into consideration, such as comorbidities and desire for reproductive preservation. This case report presents the conservative surgical management of placenta accreta spectrum in a 23-year-old patient who underwent an elective caesarean section with uterine preservation because of anterior placenta increta. The authors performed a transverse uterine incision at the fundus with transitory uterine devascularisation of the lower uterine segment with partial myometrial removal. This technique was successful for controlling the haemorrhage and preserving the uterus, with no complications.O espectro da placenta acreta é uma condição obstétrica grave relacionada à aderência anormal do tecido placentário ao miométrio e alta morbidade materna e fetal. Para obter o melhor resultado, o manejo dessa condição deve ser feito por uma equipe multidisciplinar experiente e devem ser consideradas as características individuais do paciente, como comorbidades e desejo de preservação reprodutiva. Este relato de caso apresenta o manejo cirúrgico conservador do espectro de placenta acreta em uma paciente de 23 anos submetida a uma cesariana eletiva com preservação uterina devido a placenta anterior incretada. Os autores realizaram uma incisão uterina transversal no fundo com desvascularização uterina transitória do segmento uterino inferior com remoção parcial do miométrio. Esta técnica obteve sucesso no controle da hemorragia e na preservação do útero, sem complicações.engUniversidade Federal de Minas GeraisUFMGBrasilHCL - HOSPITAL DAS CLINICASMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIAReproductive HealthCesáreaHemorragia pós-partoPlacenta acretaCaesarean sectionPlacenta accreta spectrumPostpartum haemorrhageUterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case reportIncisão uterina no fundo, desvascularização transitória e ressecção miometrial para preservação uterina em acretismo anterior: relato de casoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.emjreviews.com/reproductive-health/article/uterine-incision-at-the-fundus-transitory-devascularisation-and-myometrial-resection-for-uterine-preservation-in-anterior-accretism-a-case-report-j150121/Rayra Amana Macedo MacielCaio Ribeiro Vieira LealBárbara Flecha D'AbreuMário Dias Corrêa JúniorAdmário Silva Santos Filhoapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/54394/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALUterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism a case report.pdfUterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism a case report.pdfapplication/pdf3274823https://repositorio.ufmg.br/bitstream/1843/54394/2/Uterine%20incision%20at%20the%20fundus%2c%20transitory%20devascularisation%2c%20and%20myometrial%20resection%20for%20uterine%20preservation%20in%20anterior%20accretism%20a%20case%20report.pdff7a1842fbd937020d4570fee2e703436MD521843/543942023-06-02 16:36:33.287oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-06-02T19:36:33Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Uterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case report |
dc.title.alternative.pt_BR.fl_str_mv |
Incisão uterina no fundo, desvascularização transitória e ressecção miometrial para preservação uterina em acretismo anterior: relato de caso |
title |
Uterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case report |
spellingShingle |
Uterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case report Rayra Amana Macedo Maciel Caesarean section Placenta accreta spectrum Postpartum haemorrhage Cesárea Hemorragia pós-parto Placenta acreta |
title_short |
Uterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case report |
title_full |
Uterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case report |
title_fullStr |
Uterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case report |
title_full_unstemmed |
Uterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case report |
title_sort |
Uterine incision at the fundus, transitory devascularisation, and myometrial resection for uterine preservation in anterior accretism: a case report |
author |
Rayra Amana Macedo Maciel |
author_facet |
Rayra Amana Macedo Maciel Caio Ribeiro Vieira Leal Bárbara Flecha D'Abreu Mário Dias Corrêa Júnior Admário Silva Santos Filho |
author_role |
author |
author2 |
Caio Ribeiro Vieira Leal Bárbara Flecha D'Abreu Mário Dias Corrêa Júnior Admário Silva Santos Filho |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rayra Amana Macedo Maciel Caio Ribeiro Vieira Leal Bárbara Flecha D'Abreu Mário Dias Corrêa Júnior Admário Silva Santos Filho |
dc.subject.por.fl_str_mv |
Caesarean section Placenta accreta spectrum Postpartum haemorrhage |
topic |
Caesarean section Placenta accreta spectrum Postpartum haemorrhage Cesárea Hemorragia pós-parto Placenta acreta |
dc.subject.other.pt_BR.fl_str_mv |
Cesárea Hemorragia pós-parto Placenta acreta |
description |
Placenta accreta spectrum is a serious obstetric condition related to abnormal adherence of placental tissue to the myometrium and high maternal and fetal morbidity. In order to achieve the best outcome, the management of this condition must be carried out by an experienced multidisciplinary team and the individual characteristics of the patient must be taken into consideration, such as comorbidities and desire for reproductive preservation. This case report presents the conservative surgical management of placenta accreta spectrum in a 23-year-old patient who underwent an elective caesarean section with uterine preservation because of anterior placenta increta. The authors performed a transverse uterine incision at the fundus with transitory uterine devascularisation of the lower uterine segment with partial myometrial removal. This technique was successful for controlling the haemorrhage and preserving the uterus, with no complications. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021-08-10 |
dc.date.accessioned.fl_str_mv |
2023-06-02T19:36:33Z |
dc.date.available.fl_str_mv |
2023-06-02T19:36:33Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/54394 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.33590/emjreprohealth/21-00007 |
dc.identifier.issn.pt_BR.fl_str_mv |
2059-450X |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0002-2535-3473 https://orcid.org/0000-0002-5859-0635 https://orcid.org/0000-0001-5223-8051 https://orcid.org/0000-0003-4198-0546 https://orcid.org/0000-0003-1631-5464 |
url |
https://doi.org/10.33590/emjreprohealth/21-00007 http://hdl.handle.net/1843/54394 https://orcid.org/0000-0002-2535-3473 https://orcid.org/0000-0002-5859-0635 https://orcid.org/0000-0001-5223-8051 https://orcid.org/0000-0003-4198-0546 https://orcid.org/0000-0003-1631-5464 |
identifier_str_mv |
2059-450X |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Reproductive Health |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
HCL - HOSPITAL DAS CLINICAS MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
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reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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