Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta

Objective To evaluate the efficacy and safety of temporary cross-clamping of the infrarenal abdominal aorta for controlling operative blood loss during cesarean hysterectomy in severe invasive placentation. Case Report A 35-year-old woman with a significant risk factor of four previous cesarean...

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Main Authors:	Min-Min, Chou, You-Min, Ke, Huey-Chun, Wu, Ching-Pei, Tsai, Esther, Shih-Chu Ho, Ismail, Hamizah, Jaraquemada, Jose M. Palacios
Format:	Article
Language:	English
Published:	Elsevier 2010
Subjects:	RZ Other systems of medicine
Online Access:	http://irep.iium.edu.my/12691/ http://irep.iium.edu.my/12691/ http://irep.iium.edu.my/12691/ http://irep.iium.edu.my/12691/1/TEMPORARY_CROSS-CLAMPING-SD.pdf

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recordtype	eprints
spelling	iium-126912012-03-14T03:42:35Z http://irep.iium.edu.my/12691/ Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta Min-Min, Chou You-Min, Ke Huey-Chun, Wu Ching-Pei, Tsai Esther, Shih-Chu Ho Ismail, Hamizah Jaraquemada, Jose M. Palacios RZ Other systems of medicine Objective To evaluate the efficacy and safety of temporary cross-clamping of the infrarenal abdominal aorta for controlling operative blood loss during cesarean hysterectomy in severe invasive placentation. Case Report A 35-year-old woman with a significant risk factor of four previous cesarean sections and placenta previa was referred to Taichung Veterans General Hospital with suspected abnormal placentation at 37 weeks of gestation. Obstetric ultrasonography and magnetic resonance imaging showed a bulky inhomogeneous placenta with extensive uterine serosa-bladder interface hypervascularity and suspicious focal bladder invasion. Cesarean hysterectomy was performed with the use of temporary cross-clamping of the infrarenal abdominal aorta. The duration of aortic cross-clamping was 1 hour, and the estimated blood loss was 2,000 mL. The patient was discharged home on postoperative day 11 with no postoperative sequelae. Conclusion With this limited experience, we are encouraged by the apparent reduction in operative blood loss after the use of temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy. Further investigation is needed to determine the efficacy and safety of this procedure. Key Words: aortic cross-clamping; blood loss; cesarean hysterectomy; placenta percreta Correspondence to: Dr Min-Min Chou, Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, 160, Section 3, Taichungkang Road, Taichung, Taiwan Copyright © 2010 Taiwan Association of Obstetric & Gynecology. Published by Elsevier B.V. All rights reserved Elsevier 2010-03 Article PeerReviewed application/pdf en http://irep.iium.edu.my/12691/1/TEMPORARY_CROSS-CLAMPING-SD.pdf Min-Min, Chou and You-Min, Ke and Huey-Chun, Wu and Ching-Pei, Tsai and Esther, Shih-Chu Ho and Ismail, Hamizah and Jaraquemada, Jose M. Palacios (2010) Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta. Taiwanese Journal of Obstetrics and Gynecology, 49 (1). pp. 72-76. ISSN 1028-4559 http://www.sciencedirect.com/science/article/pii/S1028455910600137 http://dx.doi.org/10.1016/S1028-4559(10)60013-7
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RZ Other systems of medicine
spellingShingle	RZ Other systems of medicine Min-Min, Chou You-Min, Ke Huey-Chun, Wu Ching-Pei, Tsai Esther, Shih-Chu Ho Ismail, Hamizah Jaraquemada, Jose M. Palacios Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta
description	Objective To evaluate the efficacy and safety of temporary cross-clamping of the infrarenal abdominal aorta for controlling operative blood loss during cesarean hysterectomy in severe invasive placentation. Case Report A 35-year-old woman with a significant risk factor of four previous cesarean sections and placenta previa was referred to Taichung Veterans General Hospital with suspected abnormal placentation at 37 weeks of gestation. Obstetric ultrasonography and magnetic resonance imaging showed a bulky inhomogeneous placenta with extensive uterine serosa-bladder interface hypervascularity and suspicious focal bladder invasion. Cesarean hysterectomy was performed with the use of temporary cross-clamping of the infrarenal abdominal aorta. The duration of aortic cross-clamping was 1 hour, and the estimated blood loss was 2,000 mL. The patient was discharged home on postoperative day 11 with no postoperative sequelae. Conclusion With this limited experience, we are encouraged by the apparent reduction in operative blood loss after the use of temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy. Further investigation is needed to determine the efficacy and safety of this procedure. Key Words: aortic cross-clamping; blood loss; cesarean hysterectomy; placenta percreta Correspondence to: Dr Min-Min Chou, Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, 160, Section 3, Taichungkang Road, Taichung, Taiwan Copyright © 2010 Taiwan Association of Obstetric & Gynecology. Published by Elsevier B.V. All rights reserved
format	Article
author	Min-Min, Chou You-Min, Ke Huey-Chun, Wu Ching-Pei, Tsai Esther, Shih-Chu Ho Ismail, Hamizah Jaraquemada, Jose M. Palacios
author_facet	Min-Min, Chou You-Min, Ke Huey-Chun, Wu Ching-Pei, Tsai Esther, Shih-Chu Ho Ismail, Hamizah Jaraquemada, Jose M. Palacios
author_sort	Min-Min, Chou
title	Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta
title_short	Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta
title_full	Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta
title_fullStr	Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta
title_full_unstemmed	Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta
title_sort	temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta
publisher	Elsevier
publishDate	2010
url	http://irep.iium.edu.my/12691/ http://irep.iium.edu.my/12691/ http://irep.iium.edu.my/12691/ http://irep.iium.edu.my/12691/1/TEMPORARY_CROSS-CLAMPING-SD.pdf
first_indexed	2023-09-18T20:21:50Z
last_indexed	2023-09-18T20:21:50Z
_version_	1777408158325538816

Temporary cross-clamping of the infrarenal abdominal aorta during cesarean hysterectomy to control operative blood loss in placenta previa increta/percreta

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