Two cases of placenta accreta identified during pregnancy af
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Introduction
The uterine endometrium can be damaged during laparoscopic myomectomy and adenomyosis resection. Postoperatively, the placenta can invade the myometrium at the resection site. If the intrauterine cavity is not normalized despite a sufficient contraceptive period, placenta accreta may occur in the subsequent pregnancy. Placenta accreta can result in severe maternal hemorrhage and, occasionally, maternal morbidity and death. Here we report our experiences with two pregnant women with placenta accreta occurring after laparoscopic myomectomy and adenomyomectomy.

Case report
A 39-year-old woman with a history of miscarriage was admitted to our hospital. Ultrasonography examination and MRI revealed multiple uterine myomas and adenomyosis. After gonadotrophic-releasing hormone agonist was administered, laparoscopic myomectomy and adenomyomectomy were performed. To reduce intraoperative hemorrhage, a 200× dilution of vasopressin in physiological saline was locally injected using an 18G needle. The posterior wall of the uterus was vertically incised, and the adenomyosis was removed using the convex-lens method. Damage to the uterine endometrium was found intraoperatively, but sufficient closure was achieved. The myometrium was closed in three layers using a 1-0 Monocryl, with a purse-string suture carried out to avoid creating dead space in the deepest part of the myometrial layer....

https://www.jstage.jst.go.jp/article/jsshp/3/1/3_38/_html
Dr. n●●●u r●●●y and 4 others like this
Like
Comment
Share