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Successful Management of Two Cases of Placenta Accreta and a Literature Review: Use of the B-Lynch Suture and Bilateral Uterine Artery Ligation Procedures Publisher



Arab M1 ; Ghavami B3 ; Saraeian S1 ; Sheibani S1 ; Azar FA1 ; Hosseinizijoud SM4
Authors
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Authors Affiliations
  1. 1. Preventative Gynecology Research Center (PGRC), Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Shariati Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Baqiyatallah University of Medical Sciences, Tehran, Iran

Source: Iranian Red Crescent Medical Journal Published:2016


Abstract

Introduction: 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 in Tehran, 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 considered in fertility preservation, coagulopathy, coexisting medical disease, blood access shortage, low surgical experience, distant local hospitals, and no help. © 2016, Iranian Red Crescent Medical Journal.
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