Sezen KOCARSLAN, Adnan INCEBİYİK, Hakan CAMUZCUOGLU, Aysun CAMUZCUOGLU, Hasan Husnu YUCE, Ekrem KARAKAS, Nese HİLALİ, Mehmet VURAL

Conservative management of two cases of morbidly adherent placenta

Plasenta perkratada konservatif tedavi uygulanan iki olgu sunuldu. Kliniğimizde plasenta perkrata tanısıkonan iki olguya konservatif tedavi uygulandı. İlk olguda kanamadan dolayı tedavide istenilen başarı eldeedilemedi. İkinci olguda; abdominal orta hat ve uterin fundusda klasik insizyon, internal iliak arterligasyonu, profilaktik geniş spektrumlu antibiyotik kullanımı, menstruel siklus supresyonu, human koryonikgonadotropin seviyesinde hızlı düşüş trendi elde edene kadar metotreksat uygulaması ve plasental atılımgerçekleşene kadar hastanın haftalık izlemi ile başarılı bir sonuç elde edildi. Hemodinamik olarak stabil vefertilite isteği olan plasenta perkrata olgularında konservatif yaklaşım daha uygun bir seçenek olabilir.

İki adet morbid yapışık plasentalı olguda konservatif tedavi

To present two cases of placenta percreta which were treated with conservative management in our clinic. Two cases of retained placenta percreta are presented. Treatment was failed in the first case because ofhaemorrhage. The second one was treated successfully with the procedures which consisted of caesareansection with midline abdominal and classic incision in the uterine fundus, internal iliac artery ligation,prophylactic broad-spectrum antibiotic treatment, suppression of menstrual cycle, use of methotrexate untilthe achievement of rapid downtrend of , and monitoring the patient until human chorionic gonadotropinspontan expulsion or resorbtion of placenta. It may be better to treat the cases of placenta percreta withconservative management, if the patients are hemodynamically stable and desirable for future fertility.

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