Surgical Difficulties and Complications




Figure (a) and (b) demonstrate the anterior and posterior views of the uterus showing the application of the B-Lynch Brace suture. Figure (c) shows the anatomical appearance after competent application.



9.10.3 Stepwise Uterine Artery Ligation and Bilateral or Unilateral Internal Lliac Artery Ligation


This procedure is rarely indicated because it has to be performed by a very experienced gynecologist and may make the subsequent interventional radiology very difficult.



References



1.

Patwardhan BD, Motashaw ND. Cesarian section. J Obstet Gynaecol India. 1957;8:1–15.


2.

Rosen T. Placenta accreta and caesarean scar pregnancy: overlooked cost of rising caesarean section rate. Clin Perinatol. 2008;35:519–29.CrossRefPubMed


3.

Gilliam M, Rosenberg D, Davis E. The likeliwood of placenta praevia with greater number of, caesarean deliveries and higher parity. Obstet Gynecol. 2002;99:976–80.PubMed


4.

RCOG. Greentop Guideline N° 27. Placenta praevia, placenta praeviaaccreta and vasapraevia; diagnosis and management. London: RCOG; 2011.


5.

Shih JC, Palacios JM, Su YN, Shyu MK, et al. Role of three-dimensional power Doppler in the antenatal diagnosis of placenta accrete: comparison with gray scale and color Doppler tecniques. Ultrasound Obstet Gynecol. 2009;33:193–203.CrossRefPubMed


6.

Bonner SM, Haynes SR, Ryall D. The anesthetic management of caesarean section for placenta praevia: a questionary survey. Anaesthesia. 1995;50:992–4.CrossRefPubMed

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Oct 25, 2017 | Posted by in Uncategorized | Comments Off on Surgical Difficulties and Complications

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