Damage-Control Surgery for Maternal Near-Miss Cases of Placenta Previa and Placenta Accreta Spectrum

Figures & data

Table 1 Maternal Characteristics and Outcomes

Age	Previous CS	GA	Ante-Natal Care and Admission	Preoperative Diagnosis	Intraoperative Diagnosis	Pathology	Operative Procedures	Pack Removal	Complications
39	4	36	1 Ante-natal visit at 32 weeks, and was admitted 1 week before operation	Placenta previa accreta by US outside + MRI in our hospital	Placenta previa accreta	Accreta	Precesarean balloon catheters insertion, elective low transverse CS, internal iliac embolization, hysterectomy, and packing	After 1 day	Disseminated intravascular coagulation
37	3	37	No ante-natal care, and was admitted 1 month before operation	Placenta previa by US	Placenta previa	No accreta	Elective low transverse CS, followed by laparotomy for primary PPH, hysterectomy, and packing	After 1 day	Intestinal obstruction treated by laparotomy for release of adhesions
31	3	36	1 Ante-natal visit at 33 weeks, and was admitted from ER 1 day before operation	Placenta previa by US	Accreta	Accreta	Elective low transverse CS, followed by laparotomy for primary PPH, hysterectomy, and packing	After 2 days	Disseminated intravascular coagulation
36	4	20	No ante-natal care, and was admitted from ER 11 days before operation	Placenta accreta by US	Accreta	Accreta	Emergency hysterectomy and packing	After 2 days	Vesicovaginal fistula which was repaired abdominally 5 months later
33	3	37	No ante-natal care admitted 22 days before operation	Placenta previa by US	Placenta previa	No accreta	Elective low transverse CS, followed by laparotomy for primary PPH, hysterectomy, and packing	After 2 days
40	4	34	1 Ante-natal visit at 23 weeks, and was admitted from ER on the same operation day	Placenta previa accrete by US	Placenta previa accreta	Accreta	Emergency upper uterine segment CS, followed by laparotomy for primary PPH, hysterectomy, and packing	After 2 days	Disseminated intravascular coagulation, acute kidney failure requiring dialysis, and wound infection
32	2	37	No ante-natal care and was admitted from ER in labor on the same operation day	Placenta previa by US	Placenta previa	No accreta	Emergency upper uterine segment CS, bilateral uterine artery ligation, and uterine packing, followed by laparotomy for primary PPH, hysterectomy, and packing	After 2 days