Up-front dissection of the uterovesical space or “bladder-first approach” reduces hemorrhage and bladder injury during hysterectomy for placenta accreta spectrum: reconfirmed in 78 more cases in a prospective single-center study
Our data support that up-front dissection of the uterovesical space or "bladder-first approach" reduces hemorrhage and bladder injury during cesarean hysterectomy in placenta accreta spectrum disorder, with no adverse effect on neonatal outcome. Achieving peripheral vascular control of the neovascularized uterovesical area before achieving control of the central vascular supply (uterine arteries) reduced intraoperative hemorrhage. This approach requires no additional resource and can be implemented easily in developing countries.
Authors
- Kajal Jain (ORCID: https://orcid.org/0000-0003-3077-8326)
- Rashmi Bagga (ORCID: https://orcid.org/0000-0003-2693-2343)
- Ravimohan S. Mavuduru (ORCID: https://orcid.org/0000-0003-1369-7479)
- Nalini Gupta (ORCID: https://orcid.org/0000-0003-3385-1955)
- Rimpi Singla (ORCID: https://orcid.org/0000-0002-7950-4345)
- Aashima Arora (ORCID: https://orcid.org/0000-0001-6776-4249)
- Tulika Singh (ORCID: https://orcid.org/0000-0002-7416-7861)
- Pradip Kumar Saha (ORCID: https://orcid.org/0000-0002-3200-4124)
- Vanita Suri (ORCID: https://orcid.org/0000-0002-3997-8677)
- Pawan Kumar (ORCID: https://orcid.org/0000-0001-5873-3328)
- Ashish Jain (ORCID: https://orcid.org/0000-0001-7799-7484)
- Vanita Jain (ORCID: https://orcid.org/0000-0002-7305-3010)
Institutions
- Post Graduate Institute of Medical Education and Research (IN)
Publication Details
- Journal
- AJOG Global Reports
- Published
- 2024-11-26
- DOI
- https://doi.org/10.1016/j.xagr.2024.100425
- Citations
- 2
- Primary Topic
- Maternal and fetal healthcare
- Type
- article
- Field-Weighted Citation Impact
- 2.22
Funders
- Postgraduate Institute of Medical Education and Research, Chandigarh