From: Conservative surgical approach towards placenta accreta spectrum disorders for uterine preservation
Peripartum Hysterectomy | Myometrial Repair | p value | |
---|---|---|---|
Number of Subjects | 10 | 10 | |
Age (yrs) ± SD, Median | 35.1 ± 3.21, 34.5 | 34.4 ± 3.44, 33.5 | 0.644 |
BMI ± SD, Median | 28.6 ± 4.70, 28.9 | 25.0 ± 4.90, 24.6 | 0.115 |
Gestational age (wks) ± SD, Median | 34.0 ± 3.34, 34.9 | 34.5 ± 2.72, 34.5 | 0.695 |
US | 10/10(100%) | 10/10(100%) | 1.00 |
Low lying placenta | 2 | 2 | |
Features of PASD | 6 | 6 | |
Placenta upper | 1 | 0 | |
MRI (%) | 4/10 (40%) | 5/10 (50%) | |
Grading of PASD by MRI | Accreta (2) | Accreta (2) | |
Increta (1) | Increta (2) | ||
Percreta (1) | Percreta (1) | ||
Grading of PASD by Histology | Accreta (2) | ||
Increta (4) | Not done | ||
Percreta (2) | |||
At least one features of PASD(US/MRI/Histology) | 8/10 | 9/10 | |
Internal Iliac Artery Catheter (IIAC) (%) | 5/10 (50%) | 5/10 (50%) | 1.00 |
Surgical time(min) ± SD, Median | 164 ± 62.3, 148 | 117 ± 27.1, 121 | 0.050 |
Estimated blood loss(ml) ± SD (minimum – maximum) | 2570 ± 1739 (900–6000) | 2090 ± 1385 (800–4000) | 0.503 |
Transfusion | 10/10 (100%) | 8/10 (80%) | 0.136 |
Duration of hospital stay(day) ± SD, Median | 5.4 ± 2.2, 4.5 | 4.3 ± 1.2, 4.0 | 0.175 |
ICU admission | 10/10 (100%) | 8/10 (80%) | 0.264 |
Visceral injuries | 1 (bladder) | 0 | |
Previous number of CS | 0.096 | ||
1 | 3/10 (30%) | 6/10 (60%) | |
2 | 1/10 (10%) | 3/10 (30%) | |
3 | 4/10 (40%) | 0/10 (0%) | |
4 | 2/10 (20%) | 1/10 (10%) |