Placental Adhesive Disorders
E-Book
Placental Adhesive Disorders
Abnormal placental adhesive disorders are associated to profuse or catastrophic bleeding during delivery. Their incidence has grown in the last few decades according to the rise in Cesarean rates, and they are an important cause of maternal morbidity and mortality worldwide. This book gathers the latest knowledge in relation with the etiology, diagnosis, treatment, and also the authors personal experience in more than 500 cases. All aspects of this condition have been analyzed to provide an accurate management.
1;Preface;5 2;Acknowledgements;7 3;1 General knowledge;11 3.1;1.1 Introduction;11 3.2;1.2 Epidemiology;13 3.3;1.3 Risk factors;14 3.4;1.4 Terminology;17 3.5;1.5 Types of placental invasion;18 3.6;1.6 Etiology;24 3.7;1.7 Intrinsic problems;25 4;2 Diagnosis;27 4.1;2.1 Presurgical stage;27 4.2;2.2 Clinical suspicion;27 4.3;2.3 Auxiliary diagnosis;28 4.3.1;2.3.1 Ultrasound, Doppler, Three-dimensional Doppler;30 4.3.2;2.3.2 Placental magnetic resonance imaging (pMRI);40 4.3.3;2.3.3 Placental magnetic resonance imaging (pMRI) gallery;42 4.3.4;2.3.4 Serologic diagnosis;42 5;3 Surgical anatomy;53 5.1;3.1 Anatomic and surgical problems;53 5.2;3.2 Uterine blood supply;56 5.3;3.3 Induced vascular neoformation;61 5.4;3.4 Bladder dissection;63 5.5;3.5 Ureteral dissection;68 5.6;3.6 Pelvic access spaces;73 5.7;3.7 Proximal vascular control;76 5.7.1;3.7.1 Aortic;76 5.7.2;3.7.2 Common iliac;80 5.7.3;3.7.3 Internal iliac;82 5.7.4;3.7.4 Uterine;86 6;4 Tactics and strategy;89 6.1;4.1 Alternative management in different settings;89 6.2;4.2 Scheduled surgery;95 6.3;4.3 Emergency;96 6.4;4.4 Additional resources;97 6.5;4.5 Training;98 7;5 Clinical problems;101 7.1;5.1 Hemostatic problems;101 7.2;5.2 Hemodynamic management;103 7.3;5.3 Anesthesia;104 8;6 Surgical alternatives;105 8.1;6.1 Surgical approach;105 8.2;6.2 Resective procedure (hysterectomy);111 8.3;6.3 Conservative procedures;117 8.3.1;6.3.1 In situ placenta;117 8.3.2;6.3.2 One-step conservative surgery;124 8.3.3;6.3.3 Two-step conservative surgery;133 8.3.4;6.3.4 Cesarean scar pregnancy;134 8.4;6.4 Surgical hemostasis;137 8.4.1;6.4.1 Arterial ligatures and compression methods;137 8.4.2;6.4.2 Embolization;139 8.5;6.5 Postoperative care;147 8.5.1;6.5.1 Thromboprophylaxis;147 8.5.2;6.5.2 Analgesia;148 9;7 Results;149 9.1;7.1 General overview;149 9.2;7.2 Maternal outcomes;151 9.3;7.3 Reproductive outcome;152 10;8 Summary;153 10.1;8.1 Quick guide;153 10.1.1;8.1.1 Clinical risk;153 10.1.2;8.1.2 Ultrasound;153 10.1.3;8.1.3 Placental magnetic resonance imaging (pMRI);155 10.1.4;8.1.4 Doppler;155 10.1.5;8.1.5 Surgery;155 10.1.6;8.1.6 Interventional radiologist's assistance;156 10.1.7;8.1.7 Hemodynamic and hemostatic status;157 10.1.8;8.1.8 Reproductive outcome;157 10.2;8.2 Conclusions;158 11;References;159 12;Index;171
Palacios Jaraquemada, José M.
| ISBN | 9783110282382 |
|---|---|
| Artikelnummer | 9783110282382 |
| Medientyp | E-Book - PDF |
| Copyrightjahr | 2012 |
| Verlag | Walter de Gruyter GmbH & Co.KG |
| Umfang | 171 Seiten |
| Sprache | Englisch |
| Kopierschutz | Digitales Wasserzeichen |
