dc.contributor.author | Kostu, Bulent | |
dc.contributor.author | Ozer, Alev | |
dc.contributor.author | Ercan, Onder | |
dc.contributor.author | Bakacak, Murat | |
dc.contributor.author | Karakus, Savas | |
dc.contributor.author | Keten, Hamit | |
dc.date.accessioned | 2019-07-27T12:10:23Z | |
dc.date.accessioned | 2019-07-28T09:46:32Z | |
dc.date.available | 2019-07-27T12:10:23Z | |
dc.date.available | 2019-07-28T09:46:32Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 1940-5901 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12418/7538 | |
dc.description | WOS: 000385837700212 | en_US |
dc.description.abstract | Objective: To determine the effectiveness of prophylactic hypogastric artery ligation (HAL) on the bleeding control in surgeries of placental invasion anomalies. Study design: In this study, an evaluation was made of the effects on bleeding of prophylactic HAL applied before hysterectomy in cases of placental invasion anomalies. A total of 45 pregnant patients with placental invasion anomalies were examined retrospectively. In Group 1 (n=19) hysterectomy alone was applied in the surgical treatment and in Group 2 (n=26), prophylactic HAL was applied before hysterectomy. The results were compared with evaluation of morbidities, particularly bleeding. Results: Statistically significantly higher values were determined in Group 1 compared to Group 2 in respect of estimated blood loss (3183 vs 2204 ml, P<0.001), amount of fluid drainage (2346 vs 700 ml, P<0.001), and mean units of packed red cells and thrombocytes transfused (5.8 vs 3.3 units, P<0.001 and 3.9 vs 2.5 units, P<0.001 respectively). The hCO3 level was statistically significantly lower in Group 1 (16.3 meq/L in Group 1, 19.2 meq/L in Group 2) (P=0.003). Conclusions: Prophylactic HAL has a protective effect on bleeding in operations of placental invasion anomalies and may be used in cases in which balloon occlusion of the hypogastric artery can not be performed. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | E-CENTURY PUBLISHING CORP | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Hypogastric artery ligation | en_US |
dc.subject | peripartum hysterectomy | en_US |
dc.subject | haemorrhage | en_US |
dc.title | Prophylactic hypogastric artery ligation in surgery for placental invasion disorders | en_US |
dc.type | article | en_US |
dc.relation.journal | INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE | en_US |
dc.contributor.department | [Kostu, Bulent -- Ozer, Alev -- Ercan, Onder -- Bakacak, Murat] Kahramanmaras Sutcu Imam Univ Hosp, Dept Obstet & Gynecol, Kahramanmaras, Turkey -- [Karakus, Savas] Sivas Cumhuriyet Univ Hosp, Dept Obstet & Gynecol, Sivas, Turkey -- [Keten, Hamit] Oniki Subat Publ Hlth Ctr, Kahramanmaras, Turkey | en_US |
dc.identifier.volume | 9 | en_US |
dc.identifier.issue | 8 | en_US |
dc.identifier.endpage | 16740 | en_US |
dc.identifier.startpage | 16735 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |