• Home
  • Browse
    • Current Issue
    • By Issue
    • By Author
    • By Subject
    • Author Index
    • Keyword Index
  • Journal Info
    • About Journal
    • Aims and Scope
    • Editorial Board
    • Publication Ethics
    • Indexing and Abstracting
    • Peer Review Process
    • News
  • Guide for Authors
  • Submit Manuscript
  • Reviewers
  • Contact Us
 
  • Login
  • Register
Home Articles List Article Information
  • Save Records
  • |
  • Printable Version
  • |
  • Recommend
  • |
  • How to cite Export to
    RIS EndNote BibTeX APA MLA Harvard Vancouver
  • |
  • Share Share
    CiteULike Mendeley Facebook Google LinkedIn Twitter
Zagazig University Medical Journal
arrow Articles in Press
arrow Current Issue
Journal Archive
Volume Volume 27 (2021)
Volume Volume 26 (2020)
Volume Volume 25 (2019)
Volume Volume 24 (2018)
Issue Supplement Issue 1
Issue Issue 6
Issue Issue 5
Issue Issue 4
Issue Issue 3
Issue Issue 2
Issue Issue 1
Volume Volume 23 (2017)
Volume Volume 22 (2016)
Volume Volume 21 (2015)
Volume Volume 20 (2014)
Volume Volume 19 (2013)
(2018). BALLOON OCCLUSION OF THE INTERNAL ILIAC ARTERIES IN THE MULTIDISCIPLINARY MANAGEMENT OF PLACENTA ACCRETA AT ZAGAZIG UNIVERSITY HOSPITALS. Zagazig University Medical Journal, 24(Supplement Issue 1), 1-15. doi: 10.21608/zumj.2018.31498
. "BALLOON OCCLUSION OF THE INTERNAL ILIAC ARTERIES IN THE MULTIDISCIPLINARY MANAGEMENT OF PLACENTA ACCRETA AT ZAGAZIG UNIVERSITY HOSPITALS". Zagazig University Medical Journal, 24, Supplement Issue 1, 2018, 1-15. doi: 10.21608/zumj.2018.31498
(2018). 'BALLOON OCCLUSION OF THE INTERNAL ILIAC ARTERIES IN THE MULTIDISCIPLINARY MANAGEMENT OF PLACENTA ACCRETA AT ZAGAZIG UNIVERSITY HOSPITALS', Zagazig University Medical Journal, 24(Supplement Issue 1), pp. 1-15. doi: 10.21608/zumj.2018.31498
BALLOON OCCLUSION OF THE INTERNAL ILIAC ARTERIES IN THE MULTIDISCIPLINARY MANAGEMENT OF PLACENTA ACCRETA AT ZAGAZIG UNIVERSITY HOSPITALS. Zagazig University Medical Journal, 2018; 24(Supplement Issue 1): 1-15. doi: 10.21608/zumj.2018.31498

BALLOON OCCLUSION OF THE INTERNAL ILIAC ARTERIES IN THE MULTIDISCIPLINARY MANAGEMENT OF PLACENTA ACCRETA AT ZAGAZIG UNIVERSITY HOSPITALS

Article 1, Volume 24, Supplement Issue 1, December 2018, Page 1-15  XML PDF (425.24 K)
Document Type: Original Article
DOI: 10.21608/zumj.2018.31498
Abstract
Objective: The aim of this work to evaluate the efficacy of temporary balloon occlusion of the internal iliac arteries in reducing intraoperative blood loss and blood transfusion requirements in caesarean hysterectomy in pregnant women with prenatal diagnosis of placenta accreta. Methods: Thirty patients who were admitted in high risk pregnancy unit, obstetric department, Zagazig university hospitals with prenatal diagnosis of placenta accreta had been included in this one step random assignment control trial over the period from June 2015 to June 2017.All cases were diagnosed by ultrasonography, color Doppler imaging and supplemented with MRI where necessary. The patients included in the study were divided randomly into two groups; Group A (case): In this group prophylactic temporary balloon occlusion of internal iliac arteries was done followed by CS hysterectomy. Group B (control): In this group CS hysterectomy was done and internal iliac artery ligation was done in selected cases. Intraoperative blood loss, Volume of blood transfused (ml), perioperative hemoglobin change (g/dl), Duration of surgery (min), Length of hospitalization (d), Duration of ICU admission (d) were recorded and compared in both groups ; Fluoroscopy, balloon occlusion time, any complication arisen during the procedure of balloon occlusion also were recorded. Results: The mean intraoperative blood loss in the balloon group (A) (1315 mL; range, 800–2500 mL) was significantly less than in the control group (B) (1766.7 mL; range, 850–3500 mL) (p = 0.04). The mean volume of blood transfused was significantly less in the balloon group than in the control group (p = 0.03). There was also significant difference in the perioperative change in hemoglobin levels (p = 0.04).There were no significant differences regarding operation time (p=0.83), length of hospitalization (p = 0.27), or ICU admission (p = 0.64). Mean fluoroscopy time was 9.20 min; balloon occlusion time was 116.30 min with no reported maternal or fetal complications related to balloon procedure. Conclusions: The results demonstrated that prophylactic balloon occlusion of internal iliac artery is a safe method and appears to reduce blood loss and transfusion requirements in patients diagnosed with placenta accreta who undergo cesarean hysterectomy. Antenatal imaging diagnosis of placenta accreta enables preoperative planning.
Keywords
Internal Iliac artery occlusion; balloon occlusion; placenta accreta, morbidly adherent placenta; Postpartum Hemorrhage; caesarean hysterectomy
Statistics
Article View: 93
PDF Download: 192
Home | Glossary | News | Aims and Scope | Sitemap
Top Top

Journal Management System. Designed by NotionWave.