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  •  True ingrowth of a placenta

    Редактор | 2020, Clinical case, Practical medicine part 18 №2. 2020 | 1 апреля, 2020

    О.B. КALINKINA1, Yu.V. ТEZIKOV1, I.S. LIPATOV1, О.R. АRAVINA1, М.V. NECHAEVA2, G.М. SRESELI2

    1Samara State Medical University, Samara

    2 Perinatal Center of Samara Regional Clinical Hospital named after. V.D. Seredavin, Samara

     Contact:

    Kalinkina O.B. ― MD, Associate Professor, Professor the Department of Obstetrics and Gynecology No. 1

    Address: 89 Chapaevskaya Str., 443099, Samara, Russian Federation, tel. +7-927-608-08-72, е-mail: maiorof@mail.ru

    Nowadays obstetrics practice shows a significant increase in the incidence of true placenta ingrowth ― a severe obstetric pathology accompanied by a high risk of massive bleeding and maternal mortality. Therefore, the delivery of such patients was earlier accompanied by organ-resection operations, followed by inability to fulfill the reproductive function. Therefore, it is topical to search for organ-preserving methods of operative delivery of patients with this pathology. This approach will allow preserving the menstrual and, possibly, childbearing function. The article presents a clinical case of successful metroplasty in a patient with true placenta ingrowth.

    Key words: true placenta ingrowth, metroplasty, organ-preserving surgery, surgical delivery.

    REFERENCES

    1. Kurtser M.A., Breslav I.Yu., Lukashina M.V. et al. True ingrowth of the placenta (placenta accreta). Conservative therapy. Akusherstvo i ginekologiya, 2011, no. 4, p. 1 (in Russ.).
    2. Akusherstvo: natsional’noe rukovodstvo, pod red. Savel’eva G.M., Sukhikh G.T., Serova V.N. i dr. [Obstetrics: national guidance, edited by G.M. Savelyev, G.T. Sukhikh, V.N. Serov et al.]. Moscow: GEOTAR-Media, 2015. 1080 p.
    3. Aylamazyan E.K., Repina M.A., Kuz’minykh T.U. Another look at the problem of obstetric bleeding. Zhurnal akusherstva i zhenskikh bolezney, 2008, no. 3, pp. 3-11 (in Russ.).
    4. Davydov A.I., Belotserkovtseva L.D., Klicheva I.I. et al. Placental growth as a cause of postpartum hemorrhage: questions and answers. Voprosy ginekologii, akusherstva i perinatologii, 2014, vol. 13, no. 3, pp. 53–63 (in Russ.).
    5. Kurtser M.A., Kutakova Yu.Yu., Breslav I.Yu. et al. PLACENTA ACCRETA. Save the uterus. StatusPraesens. Ginekologiya, akusherstvo, besplodnyy brak, 2013, no. 3 (14), pp. 14-19 (in Russ.).

    Метки: 2020, G.М. SRESELI, I.S. LIPATOV, metroplasty, O.B. KALINKINA, organ-preserving surgery, Practical medicine part 18 №2. 2020, surgical delivery, true placenta ingrowth, YU.V. TEZIKOV, М.V. NECHAEVA, О.R. АRAVINA

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