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Vascular control by infrarenal aortic cross‐clamping in placenta accreta spectrum disorders: description of technique
Author(s) -
Chou MM,
Chen MJ,
Su HW,
Chan CW,
Kung HF,
Tseng JJ,
Chen WC,
Chen YF,
Yuan JC
Publication year - 2021
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/1471-0528.16605
Subject(s) - placenta accreta , medicine , hysterectomy , abdominal hysterectomy , clamping , placenta , surgery , blood loss , obstetrics , pregnancy , fetus , computer science , genetics , computer vision , biology
We describe a novel surgical technique in 31 women with histopathologically confirmed placenta accreta spectrum (PAS) disorders managed by a multidisciplinary team using a prophylactic infrarenal abdominal aortic cross‐clamping technique during caesarean hysterectomy. We conclude that this new surgical procedure is a relatively safe technique to potentially control operative blood loss. Our work may stimulate others to develop protocols assessing this innovative technique to improve the surgical outcome of PAS disorders.