Application of Temporary Occlusion of Bilateral Internal Iliac Artery Balloon in Cesarean Section of Complete Placenta Previa

Abstract

Abstract:

Objective： To analyze the safety and effectiveness of bilateral internal iliac artery balloon occlusion in cesarean section of complete placenta previa. Methods： The patients with complete placenta previa diagnosed in No.1 People's Hospital of Dali City from January 2017 to December 2020 were included in the study. Preoperative internal iliac artery balloon occlusion was performed， followed by cesarean section. The intraoperative blood loss， intervention time， neonatal weight， neonatal Apgar score， neonatal asphyxia rate， and hospitalization time were observed and recorded in detail. Results： All patients had central placenta previa， and cesarean section was successfully performed with the assistance of temporary balloon occlusion. One patient had penetrating placenta implantation， and underwent subtotal hysterectomy due to hemostasis difficulties. All newborns survived， and no infections， deep venous thrombosis， iliac artery thrombosis， arterial rupture， organ damage， or maternal deaths occurred postoperatively. Conclusion： For pregnant women suspected of having dangerous complete placenta previa， a detailed treatment plan based on a multidisciplinary emergency team should be developed. Temporary balloon occlusion before cesarean section provides a safe and effective method for treating complete placenta previa with less bleeding and fewer complications while preserving the uterus， improving the patient's postoperative quality of life.

Key words:

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CLC Number:

Yang Sili, Luo Wanxun, Wang Jianping.

Application of Temporary Occlusion of Bilateral Internal Iliac Artery Balloon in Cesarean Section of Complete Placenta Previa [J]. Journal of Dali University, 2023, 8(4): 60-63.

References

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