THE CHOICE OF THE METHOD OF ANESTHESIA FOR PLACENTAL INGROWTH-PROS AND CONS
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Abstract
Placenta accreta is one of the two leading causes of bleeding in childbirth and postpartum, and the most common indication for hysterectomy. The frequency of placental ingrowth increases in parallel with the increase in the frequency of caesarean section. The choice of caesarean section and planned hysterectomy is a traditional approach to the treatment of placental ingrowth. Treatment of ingrowth requires coordination between anesthesiologists, obstetricians, radiologists, blood Bank workers and specialized surgical teams.
The article describes the experience of doctors of anesthesiology department of the Regional Perinatal Center of the Kemerovo Regional Clinical Hospital named after S.V. Belyaeva. The use of the proposed method of regional anesthesia in the delivery of women with placental rotation can help to avoid maternal complications that are possible with General anesthesia, such as complex and unsuccessful intubations, pulmonary aspiration, intraoperative awakening, the development of chronic pain and increased maternal morbidity. When comparing women with different types of anesthesia, there was a more rare use of blood transfusion, a decrease in blood loss against the background of regional anesthesia. In addition, the ability to maintain intraoperative blood pressure during regional anesthesia has been successful in most caesarean sections under presentation, even under bleeding conditions.
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References
Barinov SV, Medyannikova IV, tirskaya YuI, Shamina IV, Shavkun IA. Placenta increment in the area of uterine scar after myomectomy: a combined approach for operative delivery. Russian Bulletin of obstetrician-gynecologist. 2018; 2: 88-91. Russian (Баринов С.В., Медянникова И.В., Тирская Ю.И., Шамина И.В., Шавкун И.А. Приращение плаценты в области рубца на матке после миомэктомии: комбинированный подход при оперативном родоразрешении //Российский вестник акушера-гинеколога. 2018. № 2. С. 88-91)
Riveros-Perez E, Wood C. Retrospective analysis of obstetric and anesthetic management of patients with placenta accreta spectrum disorders. Int J Gynaecol Obstet. 2018; 140(3): 370-374
Khasanov AA. Diagnostics, prophylaxis and organ-preserving methods of delivery of pregnant women with placenta ingrowth. Kazan Medical Journal. 2016; 4: 477-485. Russian (Хасанов А. А. Диагностика, профилактика и органосохраняющие методы родоразрешения беременных с врастанием плаценты //Казанский медицинский журнал. 2016. № 4. С. 477-485)
Zmora I, Bas-Lando M, Armon S, Farkash R, Ioscovich A, Samueloff A, Grisaru-Granovsky S. Risk factors, early and late postpartum complications of retained placenta: A case control study. Eur J Obstet Gynecol Reprod Biol. 2019; 236: 160-165
Alouini S, Megier P, Fauconnier A, Huchon C, Fievet A, Ramos A, et al. Diagnosis and management of placenta previa and low placental implantation. J Matern Fetal Neonatal Med. 2019; 27: 1-6
Taylor NJ, Russell R. Anaesthesia for abnormally invasive placenta: a single-institution case series. Int J Obstet Anesth. 2017; 30: 10-15
Einerson BD, Branch DW. Surgical Management of Placenta Accreta Spectrum. Clin Obstet Gynecol. 2018; 61(4): 774-782
Saha PK, Bagga R, Kalra JK, Arora A, Singla R, Suri V, et al. An alternate surgical approach to reduce hemorrhage and complications during cesarean hysterectomy for adherent placenta. Eur J Obstet Gynecol Reprod Biol. 2018; 228: 215-220
Chu Q, Shen D, He L, Wang H, Zhao X, Chen Z, et al. Anesthetic management of cesarean section in cases of placenta accreta, with versus without abdominal aortic balloon occlusion: study protocol for a randomized controlled trial. Trials. 2017; 18(1): 240
Orbach-Zinger S, Weiniger CF, Aviram A, Balla A, Fein S, Eidelman LA, Ioscovich A. Anesthesia management of complete versus incomplete placenta previa: a retrospective cohort study. J Matern Fetal Neonatal Med. 2018; 31(9): 1171-1176
Bamber JH, Sobers S. The Need to Consider the Women's Perspective: Neuraxial Anesthesia and Cesarean Delivery for Morbidly Adherent Placenta. Anesth Analg. 2019; 128(4): e56-e57
Taheripanah R, Shoman A, Karimzadeh MA, Zamaniyan M, Malih N. Efficacy of oxytocin versus carbetocin in prevention of postpartum hemorrhage after cesarean section under general anesthesia: a prospective randomized clinical trial. J Matern Fetal Neonatal Med. 2018; 31(21): 2807-2812
Markley JC, Farber MK, Perlman NC, Carusi DA. Neuraxial Anesthesia During Cesarean Delivery for Placenta Previa With Suspected Morbidly Adherent Placenta: A Retrospective Analysis. Anesth Analg. 2018; 127(4): 930-938
Edwards HM, Svare JA, Wikkelsø AJ, Lauenborg J, Langhoff-Roos J. The increasing role of a retained placenta in postpartum blood loss: a cohort study. Arch Gynecol Obstet. 2019; 299(3): 733-740
Shamshirsaz AA, Fox KA, Erfani H, Belfort MA. The Role of Centers of Excellence With Multidisciplinary Teams in the Management of Abnormal Invasive Placenta. Clin Obstet Gynecol. 2018; 61(4): 841-850