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, 杨慧霞. 2008-2014 年凶险性前置胎盘的回顾性临床研究. 中华妇产科杂志, 2016, 51(3): 169-173.
3.	严小丽, 陈诚, 常青, 等. 凶险性前置胎盘 20 例临床分析. 实用妇产科杂志, 2013, 29(9): 704-707.
4.	李远明, 郑婉文. 凶险型前置胎盘对孕产妇的危害. 广东医学, 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.	苏应宽, 奕铭篇, 汤春生. 妇产科临床解剖学. 济南: 山东科学技术出版社, 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.	汤春生, 苏应宽. 腹主动脉下段暂时性阻断术在妇科肿瘤手术大出血的应用. 实用妇科与产科杂志, 1991, 7(3): 161-162.
11.	黄双英, 夏爱斌, Jamail G, 等. 腹主动脉暂时阻断术在凶险型前置胎盘剖宫产术中的临床效果. 中南大学学报: 医学版, 2017, 42(3): 313-319.
12.	凌波, 梅劼, 谢兰. 腹主动脉阻断球囊植入术在高危前置胎盘剖宫产手术中的应用. 实用妇产科杂志, 2015, 31(9): 709-711.
13.	李晓燕, 王晓黎, 李蕾, 等. 低位腹主动脉球囊阻断在凶险型前置胎盘中的应用价值. 国际妇产科学杂志, 2016, 43(3): 291-294.
14.	刘毅, 林永红, 周辉, 等. 双侧髂内动脉球囊封堵术控制凶险性前置胎盘剖宫产术中出血的临床分析. 实用妇产科杂志, 2014, 30(7): 552-554.
15.	蒋京军, 张小明, 张学民, 等. 腹主动脉阻断球囊在骨盆肿瘤手术中的应用及其相关血管问题的处理. 中华普通外科杂志, 2012, 27(10): 802-804.
16.	严小鹏, 吕毅, 马锋, 等. 磁性压迫腹部大血管血流阻断系统的研制. 中国医疗器械杂志, 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, 杨慧霞. 2008-2014 年凶险性前置胎盘的回顾性临床研究. 中华妇产科杂志, 2016, 51(3): 169-173.
3. 严小丽, 陈诚, 常青, 等. 凶险性前置胎盘 20 例临床分析. 实用妇产科杂志, 2013, 29(9): 704-707.
4. 李远明, 郑婉文. 凶险型前置胎盘对孕产妇的危害. 广东医学, 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. 苏应宽, 奕铭篇, 汤春生. 妇产科临床解剖学. 济南: 山东科学技术出版社, 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. 汤春生, 苏应宽. 腹主动脉下段暂时性阻断术在妇科肿瘤手术大出血的应用. 实用妇科与产科杂志, 1991, 7(3): 161-162.
11. 黄双英, 夏爱斌, Jamail G, 等. 腹主动脉暂时阻断术在凶险型前置胎盘剖宫产术中的临床效果. 中南大学学报: 医学版, 2017, 42(3): 313-319.
12. 凌波, 梅劼, 谢兰. 腹主动脉阻断球囊植入术在高危前置胎盘剖宫产手术中的应用. 实用妇产科杂志, 2015, 31(9): 709-711.
13. 李晓燕, 王晓黎, 李蕾, 等. 低位腹主动脉球囊阻断在凶险型前置胎盘中的应用价值. 国际妇产科学杂志, 2016, 43(3): 291-294.
14. 刘毅, 林永红, 周辉, 等. 双侧髂内动脉球囊封堵术控制凶险性前置胎盘剖宫产术中出血的临床分析. 实用妇产科杂志, 2014, 30(7): 552-554.
15. 蒋京军, 张小明, 张学民, 等. 腹主动脉阻断球囊在骨盆肿瘤手术中的应用及其相关血管问题的处理. 中华普通外科杂志, 2012, 27(10): 802-804.
16. 严小鹏, 吕毅, 马锋, 等. 磁性压迫腹部大血管血流阻断系统的研制. 中国医疗器械杂志, 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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