Successful Management of Two Cases of Placenta Accreta and a Literature Review: Use of the B-Lynch Suture and Bilateral Uterine Artery Ligation Procedures
نویسندگان
1 Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
2 Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
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4 Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
5 Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
6 Department of Obstetrics and Gynecology Shariati Medical Center, Tehran University of Medical Sciences, Tehran, IR Iran
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چکیده
Placenta accreta is an increasingly common complication of pregnancy that can result in massive hemorrhage.Case Presentation: We describe two cases of placenta accreta, with successful conservative management in a referral hospital inTehran, Iran. In both cases, two procedures were performed: compression suture (B-Lynch) and a perfusion-decreasing procedure(bilateral uterine artery ligation). We also present the results of a narrative literature review.Conclusions: The double B-Lynch and uterine arterial ligation procedure in cases of abnormal placentation might be strongly consideredin fertility preservation, coagulopathy, coexisting medical disease, blood access shortage, low surgical experience, distantlocal hospitals, and no help.
