Successful management of two cases of placenta accreta and a literature review : use of the B-lynch suture and bilateral uterine artery ligation procedures

Introduction: Placenta accreta is an increasingly common complication of pregnancy that can result in massive hemorrhage. Case Presentation: We describe two cases of placenta accreta, with successful conservative management in a referral hospital in Tehran, Iran. In both cases, two procedures were p...

Full description

Saved in:

Bibliographic Details
Published in:	Iranian red crescent medical journal Vol. 18; no. 4; pp. 1 - 4
Main Authors:	Arab, Maliheh, Ghavami, Behnaz, Saraeian, Samaneh, Shaybani, Samaneh, Azar, Fatimah Abbasian, Zijoud, Sayyid Mustafa Husayni
Format:	Journal Article
Language:	English
Published:	Dubai, United Arab Emirates Iranian Hospital 01-04-2016 Zamen Salamati Publishing Kowsar
Subjects:	Case Report Uterine Artery Ligation Placenta Accreta Postpartum Hemorrhage
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Introduction: Placenta accreta is an increasingly common complication of pregnancy that can result in massive hemorrhage. Case Presentation: We describe two cases of placenta accreta, with successful conservative management in a referral hospital in Tehran, Iran. In both cases, two procedures were performed: compression suture (B-Lynch) and a perfusion-decreasing procedure (bilateral uterine artery ligation). We also present the results of a narrative literature review. Conclusions: The double B-Lynch and uterine arterial ligation procedure in cases of abnormal placentation might be strongly considered in fertility preservation, coagulopathy, coexisting medical disease, blood access shortage, low surgical experience, distant local hospitals, and no help.
ISSN:	2074-1804 2074-1812
DOI:	10.5812/ircmj.35006