title: [Conservative placenta percreta management using uterine arterial embolization procedure: A series of 12 cases].
abstract: We report a retrospective series of 12 placentas percreta with bladder invasion and for which an expected initially multidisciplinary conservative surgical treatment associated with uterine artery embolization was programmed. Conservative surgical treatment was only performed in 7 women. Radical surgical treatment was necessary during the caesarean section and complicated by massive hemorrhage in three women and secondary in two other women for infectious diseases. Radical surgical treatment was associated with partial cystectomy complicated with urinary disorder sequelae in three women. Maternal morbidity of the placenta percreta bladder remains high despite the establishment of a multidisciplinary care protocol.
authors.affiliation: Clinique gynécologique et obstétricale, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Hennetier
authors.affiliation: Service de radiologie pédiatrique, CHU de Rouen, 1, rue de Germont, 76031 Rouen, France.
authors.forename: M
authors.initials: M
authors.lastname: Daudruy Brasseur
authors.affiliation: Service d'anatomo-pathologie, CHU de Rouen, 1, rue de Germont, 76031 Rouen, France.
authors.forename: S
authors.initials: S
authors.lastname: Patrier
authors.affiliation: Service de radiologie interventionnelle, CHU de Rouen, 1, rue de Germont, 76031 Rouen, France.
authors.forename: E
authors.initials: E
authors.lastname: Clavier
authors.affiliation: Service d'anesthésie réanimation, CHU de Rouen, 1, rue de Germont, 76031 Rouen, France.
authors.forename: M L
authors.initials: ML
authors.lastname: Thibault
authors.affiliation: Clinique gynécologique et obstétricale, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France. Electronic address: eric.verspyck@chu-rouen.fr.
authors.forename: E
authors.initials: E
authors.lastname: Verspyck
mesh_terms: D000328:Adult; D002585:Cesarean Section; D000072700:Conservative Treatment; D015653:Cystectomy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000628:therapy*; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery; D011247:Pregnancy; D012189:Retrospective Studies; D055357:Uterine Artery Embolization
keywords: Conservative management; Hysterectomy; Hystérectomie; Hémorragie massive; Massive hemorrhage; Multidisciplinary; Percreta placenta; Placenta percreta; Pluridisciplinarité; Traitement conservateur