Vascular control by infrarenal aortic cross-clamping in placenta accreta spectrum disorders: description of technique

BJOG. 2021 May;128(6):1030-1034. doi: 10.1111/1471-0528.16605. Epub 2020 Dec 6.

Abstract

We describe a novel surgical technique in 31 women with histopathologically confirmed placenta accreta spectrum (PAS) disorders managed by a multidisciplinary team using a prophylactic infrarenal abdominal aortic cross-clamping technique during caesarean hysterectomy. We conclude that this new surgical procedure is a relatively safe technique to potentially control operative blood loss. Our work may stimulate others to develop protocols assessing this innovative technique to improve the surgical outcome of PAS disorders.

Keywords: Caesarean hysterectomy; infrarenal aortic cross-clamping; placenta accreta spectrum disorders.

MeSH terms

  • Adult
  • Aorta, Abdominal
  • Blood Loss, Surgical / prevention & control*
  • Cesarean Section / adverse effects
  • Cesarean Section / methods*
  • Constriction
  • Duration of Therapy
  • Female
  • Hemostasis, Surgical / methods*
  • Humans
  • Hysterectomy / adverse effects
  • Hysterectomy / methods*
  • Outcome Assessment, Health Care
  • Patient Care Team
  • Placenta Accreta* / diagnosis
  • Placenta Accreta* / surgery
  • Postpartum Hemorrhage* / etiology
  • Postpartum Hemorrhage* / prevention & control
  • Pregnancy
  • Taiwan
  • Ultrasonography, Doppler, Color / methods