Int J Gynaecol Obstet. 2023 Feb 10. doi: 10.1002/ijgo.14720. Online ahead of print.
ABSTRACT
OBJECTIVES: To evaluate surgical outcomes of using a double uterine segment tourniquet in obstetric hysterectomy for bleeding control in patients with placenta accreta spectrum.
METHODS: A retrospective case-control study was conducted at the Central Hospital of San Luis Potosi- Mexico. Patients with the diagnosis of placenta accreta spectrum who underwent obstetric hysterectomy were included. Two groups were formed: In the first group, a double uterine segment tourniquet was used; in the second group, the hysterectomy was performed without a tourniquet. Primary Surgical outcomes were compared RESULTS: Forty patients in each group were included. The use of a double uterine segment tourniquet had lower total blood loss than non- tourniquet group (1054.00 + 467.02 ml vs 1528.75 + 347.12 ml p= 0.0171, Lower drop in Haemoglobin 1.74 + 1.10 (mg/dl) versus 2.60 + 1.25. (mg/dl) p = 0.0486. In the group of the double tourniquet, 10 patients (23.80%) required blood transfusion, and 26 (65.00%) in the other group p-value 0.0003. Surgical time did not show a statistical difference between groups.
CONCLUSION: The use of uterine segment tourniquet in obstetric hysterectomy may improve surgical outcomes in patients with placenta accreta spectrum with no difference in surgical time and urinary tract lesions.
PMID:36762582 | DOI:10.1002/ijgo.14720
