PLASENTA AKREATA OLGUSUNDA UTERUS KORUYUCU KARE SÜTÜR UYGULAMASI

Plasenta yapışma anomalilerinden biri olan plasenta akreata maternal mortalite ve morbidite-ye neden olan postpartum kanamaların en sık nedenlerinden birisidir. Çalışmamızda plasentaakreata'ya bağlı abondan postpartum hemorajiyi kontrol için uterus koruyucu kare sütür uygu-ladığımız bir olguyu tarif ettik. Hasta 3 yıl önce normal doğum sonrasında plasenta retansiyonunedenli postpartum dönemde küretaj işlemi geçirmiş. Daha sonra menstrüel kanaması olmamasıüzerine başvuran hastada endometrial sineşi tespit edilip operatif histeroskopi ile sineşi açıldı.Yakın dönemde gerçekleşen gebeliğinde, normal spontan doğum sonrası plasenta akreata nedenlipostpartum hemoraji gerçekleşti. Kare kompresyon sütürü uygulanarak uterus koruyucu cerrahigerçekleştirildi.Hastanın postoperatif takibinde herhangi bir komplikasyon izlenmedi.

Application of Uterus Preserving Square Suture Technique in A Case of Placenta Accreta

As one of the anomalies of placental attachment, placenta accreta is among the most common reasons of postpartum hemorrhages leading to maternal mortality and morbidity. In the report, we described a case where we used square sutures to protect uterus in order to control postpartum hemorrhage due to placenta accreta. The case had had curettage induced by placental retention after vaginal delivery within the postpartum period three years ago. Then, the patient was admitted to our clinic with the complaint of no menstrual bleeding, endometrial synechia was detected, and the synechia was cut open through operative hysteroscopy. In her recent pregnancy, postpartum haemorrhage due to placental accreta occurred following normal spontaneous delivery. So, uterus-protecting surgery was performed by using square compression sutures. During the postoperative follow-up, no complications were observed.

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