Investigation the outcomes of hypogastric arterial ligation before hysterectomy compare to single hysterectomy in patients with placenta accreta

Background and Aim : Abnormal adherent placenta (Placenta accreta-PA) is a spectrum of abnormalplacental abnormalities secondary to abnormal attachment of the placenta to the myometriumMethods : This abnormal placenta binding has severe clinical consequences for the mother and the fetus.Postpartum hemorrhage is a major cause of maternal mortality and morbidity. The aim of the present studywas to investigate the outcomes of hypogastric arterial ligation (HAL) before hysterectomy compare tosingle hysterectomy in patients with placenta accreta. In this clinical trial, 32 patients in each group and atotal of 64 patients with PA candidate for hysterectomy were studied.Results : The mean of the age was 34.23 ± 4.93 and 33.4 ± 3.46 years old in intervention and controlgroups, respectively. We found that HAL significantly reduced blood loss (P=0.004), need for bloodproducts (P=0.032), and duration of surgery (P=0.009). Hospitalization time was not significantly differentbetween two groups (P=0.97), and no DVT was seen after surgery. Our findings suggest that prophylacticHAL has a protective effect on bleeding in operations of PA anomalies.Conclusion : The intervention was HAL before hysterectomy and then bleeding rate, deep vein thrombosis(DVT) incidence, need for blood products, duration of surgery and duration of hospitalization timecompared between intervention and control groups.

کلیدواژه ها:

Hypogastric ، Hemorrhage ، Hysterectomy ، Placental Accreta ، Deep Vein Thrombosis