alexa New Multidisciplinary Approach of Conservative Surgical Management of Placenta Percreta Antenatally Diagnosed | OMICS International | Abstract
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

New Multidisciplinary Approach of Conservative Surgical Management of Placenta Percreta Antenatally Diagnosed

Berthelot-Ricou A1,2*, Villot A1,3, Bernard J1,4, Eggermont-Gavage J1, Birsan-Frances A1 and Von Theobald P1,2

1 Department of Gynecology, Obstetrics, Saint Denis Reunion Island, France

2 Perinatal study center of Indian Ocean (CEPOI), CHU La Reunion, 97448 Saint Pierre Reunion Island, France

3 Department of Gynecology, Obstetrics CHU Caen, 14033 Caen, France

4 Department of Gynecology, Obstetrics CHU Paule-de-Viguier, Toulouse, France

*Corresponding Author:
Berthelot-Ricou A
Department of Gynecology
Obstetrics, CHU La Reunion
CH Felix Guyon, 97405 Saint Denis Reunion Island, France
Tel: 33692393412
E-mail: [email protected]

Received date: October 08, 2013; Accepted date: June 07, 2014; Published date: June 09, 2014

Citation: Berthelot-Ricou A, Villot A, Bernard J, Eggermont-Gavage J, Birsan-Frances A, et al. (2014) New Multidisciplinary Approach of Conservative Surgical Management of Placenta Percreta Antenatally Diagnosed. Surgery Curr Res 4:195. doi: 10.4172/2161-1076.1000195

Copyright: © 2014 Berthelot-Ricou A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Background: Placenta percreta, accreta, increta and transcreta are abnormal placentation adherence (APA), significantly associated with high maternal morbidity and mortality. When APA is suspected antenatally there are two current recommended alternatives: a radical treatment by planned cesarean-hysterectomy or a conservative management leaving the placenta in place with secondary uterine devascularization by embolisation, in aim to preserve fertility but at the cost of heavy monitoring and possibly severe complications and secondary hysterectomy. A third option could be considered when APA is antenatally diagnosed. This is a multidisciplinary planned management, consisting in per operative placental localization and delivery of the fetus via transverse uterine incision above the upper edge of the placenta. Then pelvic devascularization by inflation of internal iliac artery balloons preoperatively inserted is established and excision of the accreta part of the placenta followed by reconstruction of the uterine wall defect with healthy myometrium is performed.

Principe of the work: We evaluated the management and outcome of all APA diagnosed between January 1st 2012 and 31 July 2013, in a Reunion Island tertiary care center, and describe our first case of placenta percreta managed according to this new multidisciplinary conservative alternative technique.

Statement of main conclusion: 7 cases of APA occurred during the study period, and have been systematically complicated of severe Post-Partum Hemorrhage (PPH) and hysterectomy in four cases.

Train finding: This first case report of multidisciplinary planned CS and conservative management of a placenta percreta was also the first one uncomplicated to PPH, transfusion or hysterectomy, in our service since 2 years. This new alternative seems very encouraging, must be available as soon as possible and should be evaluated prospectively.


Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

bornova escort

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7