Assessment of Cesarean Scar Following Conservative Management for Placenta Accreta Spectrum at a Tertiary Care Hospital in Egypt

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Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background & Objective

Conservative treatment of placenta accreta spectrum (PAS) become increasingly performed, especially due to acceptance of many obstetricians to preserve the uterus. To evaluate cesarean scar integrity following PAS conservative surgery using Shehata's technique and other conservative techniques because more than one level of pelvic devascularization was used. This cross-sectional study was conducted at Tanta University in the period from June 1, 2019 to October 31, 2022.

Materials & Methods

All patients underwent conservative uterine sparing technique (Shehata's technique) were assessed by 2 D ultrasound at 6-18 months later to detect the integrity of the CS scar. Fifty women with a history of other conservative treatment of PAS used as control.

Results

Women who were operated with Shehata’s technique showed less incidence of scar dehiscence with less size of scar defects and more thickness of the myometrium over the scar site and more vascularity of these scars.

Conclusion

Shehata's technique resulted in a more integrated scar with less incidence of   dehiscence and more vascularity of the compared to other conservative methods of treatment of PAS. Therefore, it is an effective and safe method in treatment of PAS.

Language:
English
Published:
Journal of Obstetrics, Gynecology and Cancer Research, Volume:9 Issue: 2, Mar-Apr 2024
Pages:
163 to 173
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