A novel low uterine segment sandwich technique (Caliskan's technique) for the management of post-cesarean hemorrhage due to placenta previa accreta

dc.authorid Caliskan, Eray/0000-0002-6799-5909
dc.authorscopusid 6701507807
dc.authorscopusid 56439873300
dc.authorscopusid 6603127940
dc.authorscopusid 57188755301
dc.authorwosid Caliskan, Eray/HTR-8541-2023
dc.contributor.author Caliskan, Eray
dc.contributor.author Akar, Bertan
dc.contributor.author Ceylan, Yasin
dc.contributor.author Karadag, Cihan
dc.date.accessioned 2024-05-25T11:42:42Z
dc.date.available 2024-05-25T11:42:42Z
dc.date.issued 2021
dc.department Okan University en_US
dc.department-temp [Caliskan, Eray; Karadag, Cihan] Okan Univ, Sch Med, Dept Obstet & Gynecol, Istanbul, Turkey; [Akar, Bertan] Istinye Univ, Sch Med, Private Kocaeli Hosp, Clin Obstet & Gynecol, Kocaeli, Turkey; [Ceylan, Yasin] Kocaeli Univ, Sch Med, Dept Obstet & Gynecol, Kocaeli, Turkey en_US
dc.description Caliskan, Eray/0000-0002-6799-5909 en_US
dc.description.abstract Objective: Placenta previa (PP) and placenta accreta spectrum (PAS) disorders are major causes of postpartum hemorrhage (PPH). There is a variety of surgical management options with inexplicit reported success rates. Uterine sandwich is a combination of uterine compression sutures and intrauterine balloon placement to achieve hemostasis. The aim of this study was to present our experience of seven women managed with a novel "lower uterine sandwich" technique to control post-cesarean hemorrhage due to PP accreta. Materials and Methods: Seven pregnant women diagnosed as having PP totalis accreta underwent a post-cesarean procedure combining bilateral ligation of the uterine artery, utero-ovarian artery, and internal iliac artery, Pereira compression sutures implemented on the uterine isthmus, Foley catheter placement into the lower uterine segment, and transvaginal cervical cerclage application, namely "Caliskan's uterine sandwich technique". Results: All women included in this study had placental invasion abnormalities of varying degrees. Postoperative diffusion magnetic resonance imaging assessment revealed a completely normal and preserved uterine blood supply. All women menstruated regularly in their postoperative follow-up period and two women conceived again and delivered uneventfully. None of the patients experienced morbid complications nor required hysterectomy. Conclusion: This novel procedure appears to be a plausible fertility and organ-preserving option in cases of intractable PPH, particularly in lower uterine segment bleeding. This uterine sandwich technique may allow physicians to manage massive hemorrhage due to PAS conservatively by preserving the uterus and its functions without major complications. en_US
dc.identifier.citationcount 3
dc.identifier.doi 10.4274/tjod.galenos.2021.72437
dc.identifier.endpage 84 en_US
dc.identifier.issn 2149-9322
dc.identifier.issn 2149-9330
dc.identifier.issue 2 en_US
dc.identifier.pmid 34082519
dc.identifier.scopus 2-s2.0-85109986005
dc.identifier.scopusquality Q3
dc.identifier.startpage 79 en_US
dc.identifier.uri https://doi.org/10.4274/tjod.galenos.2021.72437
dc.identifier.uri https://hdl.handle.net/20.500.14517/1629
dc.identifier.volume 18 en_US
dc.identifier.wos WOS:000659046900002
dc.language.iso en
dc.publisher Galenos Publ House en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.scopus.citedbyCount 7
dc.subject Placenta previa en_US
dc.subject postpartum hemorrhage en_US
dc.subject uterine sandwich technique en_US
dc.subject uterine compression suture en_US
dc.title A novel low uterine segment sandwich technique (Caliskan's technique) for the management of post-cesarean hemorrhage due to placenta previa accreta en_US
dc.type Article en_US
dc.wos.citedbyCount 6

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