Article Type
Original Study
Subject Area
Obstetrics and Gynecology
Abstract
Placenta accreta spectrum (PAS) poses a significant issue for obstetricians, primarily attributed to the rising incidence of pregnant women presented by this condition. This research aimed to evaluate management options of placenta accreta spectrum (PAS) at Tanta University Hospitals and to assess safety and efficacy of Shehata's procedure compared to cesarean hysterectomy. Patients & Methods: This observational study was carried out prospectively involving 70 pregnant women presented with PAS to the Emergency Room and Outpatient Clinic of the Obstetrics Department at Tanta University Hospitals, spanning from July 2023 to July 2024. Comprehensive demographic and surgical data were collected and documented. Results: Seventy pregnant women met the inclusion criteria for diagnosis of PAS. The mean age of participants was 31.9 ± 4.95 years and gestational age at time of delivery was 35.9 ± 1.63 weeks. Among the cases, 35 underwent scheduled cesarean deliveries, while another 35 required emergency cesarean deliveries due to complications such as vaginal bleeding, labor pain, and fetal distress. Shehata’s procedure was implemented in 47 cases (67.14%), whereas cesarean hysterectomy was performed in 23 cases (32.86%). Operative time, estimated blood loss, blood transfusion and urinary bladder injuries were significantly lower in Shehata’s procedure than cesarean hysterectomy (P value
IRB Number
2662024
Keywords
PAS, Cesarean hysterectomy, Shehata's procedure, Postpartum hemorrhage.
Recommended Citation
Abdelgwaad, Muhammad Abdelrahim; Dawod, Ayman Shehata; Borg, Hesham Mohammad Elsaid; and Elbassiouny, Heba Rady
(2024)
"Conservative Approach Compared to Cesarean Hysterectomy in Mangement of Placenta Accreta Spectrum at Tanta University Hospitals,"
Journal of Medicine in Scientific Research: Vol. 8:
Iss.
2, Article 10.
DOI: https://doi.org/10.59299/2537-0928.1436
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