Application value of lower abdominal aorta compression in hysterectomy for pernicious placenta previa_West China Medical Journal

Authors：

 JIANG Qingyuan , DU Xiaohong , ZHANG Qin , WANG Xue , HAN Xu , LUO Xiaolan

Department of Obstetrics, Sichuan Provincial Hospital for Women and Children, Chengdu, Sichuan 610072, P. R. China;

Corresponding?author：

JIANG Qingyuan, Email: 406386940@qq.com

Keywords：

Abdominal aorta compression; Pernicious placenta previa; Placenta increta; Cesarean section; Hysterectomy

DOI：

10.7507/1002-0179.201704134

Video：

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Objective To explore the value of lower abdominal aorta compression in emergent hysterectomy during cesarean section because of pernicious placenta previa. Method We retrospectively analyzed the clinical data of four patients who underwent hysterectomy for pernicious placenta previa with the assistance of lower abdominal aorta compression between January 2016 and March 2017 in Sichuan Provincial Hospital for Women and Children. Result The four patients were cured successfully, and the mothers and babies were all well with no pelvic organ damage or complications related to lower abdominal aorta compression. Conclusions Lower abdominal aorta compression in hysterectomy for pernicious placenta previa during cesarean section is a feasible procedure; it can effectively reduce the amount of bleeding, less affect maternal blood circulation, make surgery area clear, and give the operators the chance to do hysterectomy calmly. Lower abdominal aorta compression presents more and more advantages to treat pernicious placenta previa and may be an effective emergency measure to reduce hemorrhage during perioperative period especially under the circumstances of no chance to carry out vascular intervention treatment.

Citation： JIANG Qingyuan, DU Xiaohong, ZHANG Qin, WANG Xue, HAN Xu, LUO Xiaolan. Application value of lower abdominal aorta compression in hysterectomy for pernicious placenta previa. West China Medical Journal, 2017, 32(10): 1529-1532. doi: 10.7507/1002-0179.201704134 Copy

1.	Chattopadhyay SK, Kharif H, Sherbeeni MM. Placenta praevia and accreta after previous caesarean section[J]. Eur J Obstet Gynecol Reprod Biol, 1993, 52(3):151-156.
2.	余琳, 胡可佳, 楊慧霞. 2008-2014 年兇險性前置胎盤的回顧性臨床研究. 中華婦產科雜志, 2016, 51(3): 169-173.
3.	嚴小麗, 陳誠, 常青, 等. 兇險性前置胎盤 20 例臨床分析. 實用婦產科雜志, 2013, 29(9): 704-707.
4.	李遠明, 鄭婉文. 兇險型前置胎盤對孕產婦的危害. 廣東醫學, 2001, 22(5): 428-429.
5.	Angstmann T, Gard G, Harrington T, et al. Surgical management of placenta accreta: a cohoa series and suggested approach. Am J Obstet Gynecol, 2010, 202(38): e1-e9.
6.	Garmi G, Salim R. Epidemiology, etiology, diagnosis, and management of placenta accreta. Obstet Gynecol Int, 2012, 2012: 873-929.
7.	Cunningham F, Leveno K, Bloom S, et al. Williams obstetrics. 23rd ed. New York: McGraw-Hill Companies, 2010: 57-803.
8.	蘇應寬, 奕銘篇, 湯春生. 婦產科臨床解剖學. 濟南: 山東科學技術出版社, 2001: 183-190.
9.	Weckstein LN, Masserman JS, Garite TJ. Placenta-accreta: a problem of increasing clinical-significance. Obstet Gynecol, 1987, 69(3 Pt 2): 480-482.
10.	湯春生, 蘇應寬. 腹主動脈下段暫時性阻斷術在婦科腫瘤手術大出血的應用. 實用婦科與產科雜志, 1991, 7(3): 161-162.
11.	黃雙英, 夏愛斌, Jamail G, 等. 腹主動脈暫時阻斷術在兇險型前置胎盤剖宮產術中的臨床效果. 中南大學學報: 醫學版, 2017, 42(3): 313-319.
12.	凌波, 梅劼, 謝蘭. 腹主動脈阻斷球囊植入術在高危前置胎盤剖宮產手術中的應用. 實用婦產科雜志, 2015, 31(9): 709-711.
13.	李曉燕, 王曉黎, 李蕾, 等. 低位腹主動脈球囊阻斷在兇險型前置胎盤中的應用價值. 國際婦產科學雜志, 2016, 43(3): 291-294.
14.	劉毅, 林永紅, 周輝, 等. 雙側髂內動脈球囊封堵術控制兇險性前置胎盤剖宮產術中出血的臨床分析. 實用婦產科雜志, 2014, 30(7): 552-554.
15.	蔣京軍, 張小明, 張學民, 等. 腹主動脈阻斷球囊在骨盆腫瘤手術中的應用及其相關血管問題的處理. 中華普通外科雜志, 2012, 27(10): 802-804.
16.	嚴小鵬, 呂毅, 馬鋒, 等. 磁性壓迫腹部大血管血流阻斷系統的研制. 中國醫療器械雜志, 2014(2): 107-109.

1. Chattopadhyay SK, Kharif H, Sherbeeni MM. Placenta praevia and accreta after previous caesarean section[J]. Eur J Obstet Gynecol Reprod Biol, 1993, 52(3):151-156.
2. 余琳, 胡可佳, 楊慧霞. 2008-2014 年兇險性前置胎盤的回顧性臨床研究. 中華婦產科雜志, 2016, 51(3): 169-173.
3. 嚴小麗, 陳誠, 常青, 等. 兇險性前置胎盤 20 例臨床分析. 實用婦產科雜志, 2013, 29(9): 704-707.
4. 李遠明, 鄭婉文. 兇險型前置胎盤對孕產婦的危害. 廣東醫學, 2001, 22(5): 428-429.
5. Angstmann T, Gard G, Harrington T, et al. Surgical management of placenta accreta: a cohoa series and suggested approach. Am J Obstet Gynecol, 2010, 202(38): e1-e9.
6. Garmi G, Salim R. Epidemiology, etiology, diagnosis, and management of placenta accreta. Obstet Gynecol Int, 2012, 2012: 873-929.
7. Cunningham F, Leveno K, Bloom S, et al. Williams obstetrics. 23rd ed. New York: McGraw-Hill Companies, 2010: 57-803.
8. 蘇應寬, 奕銘篇, 湯春生. 婦產科臨床解剖學. 濟南: 山東科學技術出版社, 2001: 183-190.
9. Weckstein LN, Masserman JS, Garite TJ. Placenta-accreta: a problem of increasing clinical-significance. Obstet Gynecol, 1987, 69(3 Pt 2): 480-482.
10. 湯春生, 蘇應寬. 腹主動脈下段暫時性阻斷術在婦科腫瘤手術大出血的應用. 實用婦科與產科雜志, 1991, 7(3): 161-162.
11. 黃雙英, 夏愛斌, Jamail G, 等. 腹主動脈暫時阻斷術在兇險型前置胎盤剖宮產術中的臨床效果. 中南大學學報: 醫學版, 2017, 42(3): 313-319.
12. 凌波, 梅劼, 謝蘭. 腹主動脈阻斷球囊植入術在高危前置胎盤剖宮產手術中的應用. 實用婦產科雜志, 2015, 31(9): 709-711.
13. 李曉燕, 王曉黎, 李蕾, 等. 低位腹主動脈球囊阻斷在兇險型前置胎盤中的應用價值. 國際婦產科學雜志, 2016, 43(3): 291-294.
14. 劉毅, 林永紅, 周輝, 等. 雙側髂內動脈球囊封堵術控制兇險性前置胎盤剖宮產術中出血的臨床分析. 實用婦產科雜志, 2014, 30(7): 552-554.
15. 蔣京軍, 張小明, 張學民, 等. 腹主動脈阻斷球囊在骨盆腫瘤手術中的應用及其相關血管問題的處理. 中華普通外科雜志, 2012, 27(10): 802-804.
16. 嚴小鵬, 呂毅, 馬鋒, 等. 磁性壓迫腹部大血管血流阻斷系統的研制. 中國醫療器械雜志, 2014(2): 107-109.

West China Medical Journal

Application value of lower abdominal aorta compression in hysterectomy for pernicious placenta previa

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