MURAT EKİN, Cihan KAYA, Gülsen AKYILDIZ, LEVENT YAŞAR

Plasenta perkretada çevresel rezeksiyon tekniği: bir fertilite koruyucu yaklaşım

Giriş: Plasenta perkreta koryonik villusların uterin duvara anormal invazyonu ile karakterize yaşamı tehdit eden bir obstetrik acildir. Her nekadar çeşitli konservatif tedavi seçenekleri tanımlanmış olsa da, histerektomi hala yaygın olarak hayat kurtarıcı bir seçenek olarak bulunmaktadır. Olgu: Bu olguda, fertilite isteği olan seçilmiş olgularda hipogastrik arter bağlanmasıyla birlikte çevresel rezeksiyon tekniği tanımlanmıştır. Sonuç: Fokal plasenta perkretalı seçilmiş olgularda deneyimli bir cerrahi ekibi tarafından çevresel rezeksiyon tekniği kullanılabilir.

Anahtar Kelimeler:

Fertilite koruma, obstetrik cerrahi prosedür, plasenta perkreta

Surrounding resection technique for placenta percreta: A fertility preserving approach

Placenta percreta is a life-threatening obstetric emergency characterized by the abnormal invasion of chorionic villi into the uterine wall. It is associated with significant maternal morbidity and mortality. Although various conservative treatment modalities have been described, hysterectomy is still a common option as life saving procedure. In this case, surrounding resection technique with hypogastric artery ligation is described as an option in selected cases who desire fertility.

Keywords:

fertility preservation, obstetric surgical procedure, placenta percreta,

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