The value of occlusive balloons in the management of abnormal placentation: A retrospective study.
Abnormal placentation is a potential cause of maternal morbidity and mortality from massive postpartum bleeding. The objective of this study was to investigate the efficacy of occlusive balloons when used as an adjunct to surgery in reducing blood loss and transfusion requirements. A retrospective study of 42 patients was performed involving consecutive cases of abnormal placentation who delivered with either conventional surgery with preoperatively placed occlusive balloons or conventional surgery alone. No differences were noted between the control group and the group of patients who had occlusive balloons with regard to estimated blood loss (P = 0.767), packed red blood cells transfused (P = 0.799), amount of crystalloids infused (P = 0.435), total procedure duration (P = 0.076), and length of ICU stay (P = 0.315) or total hospital stay (P = 0.254). Prophylactic intravascular balloon catheters did not benefit women with abnormal placentation when compared with conventional surgery alone.
a Internal Medicine Department, Mercy Medical Center , Clinton Iowa , USA.
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Omar
b Department of Research , Florida Gulf-to-Bay Anesthesiology Associates , Tampa Florida , USA.
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Sprenker
b Department of Research , Florida Gulf-to-Bay Anesthesiology Associates , Tampa Florida , USA.
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Alvey
c Department of Obstetrics and Gynecology , University of South Florida , Tampa, Florida , USA.|d Division of Gynecologic Oncology, Department of Obstetrics and Gynecology , Morsani School of Medicine, University of South Florida , Tampa, Florida , USA.
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Hoffman
b Department of Research , Florida Gulf-to-Bay Anesthesiology Associates , Tampa Florida , USA.
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Karlnoski
b Department of Research , Florida Gulf-to-Bay Anesthesiology Associates , Tampa Florida , USA.
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Ching
c Department of Obstetrics and Gynecology , University of South Florida , Tampa, Florida , USA.
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Cain
b Department of Research , Florida Gulf-to-Bay Anesthesiology Associates , Tampa Florida , USA.|e Department of Anesthesiology , Tampa General Hospital , Tampa , FL , USA.
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Mangar
f Department of Surgery/Anesthesiology , Department of Molecular Pharmacology and Physiology, University of South Florida , Tampa, Florida , USA.
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Camporesi
D000328:Adult; D005260:Female; D006801:Humans; D013513:Obstetric Surgical Procedures / Q000295:instrumentation*; D010921:Placenta Accreta / Q000601:surgery*; D010929:Placentation; D011247:Pregnancy; D012189:Retrospective Studies
Abnormal placentation; Placenta accreta; caesarean section; intraoperative bleeding; intravascular balloon