Marawan Elkady

Department of Obstetrics & Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

  • Research Article   
    Ureteric dissection before uterine artery clamping in Caesarean hysterectomy for morbidly adherent placenta; Cohort study
    Author(s): Mohamed S. Khallaf*, Walaa A. Elsahlmy, Nashwa Elsaid and Marawan Elkady

    Caesarean hysterectomy (CH) is a standard treatment for placenta accreta spectrum (PAS) but it sometimes causes bladder/ureter injury. We attempted to test whether ureter dissection reduces the incidence of bladder/ureter injury at CH for PAS. Methods: Patients with CH for PAS (n=140) was divided into two groups: ureter dissection (+) vs. (-). We compared the perinatal and surgical outcomes between the two groups. Results: Two groups showed the same background characters: parity, frequency of previous miscarriages, or indication for hysterectomies. No significant differences in outcomes were observed between the two groups: operative time, perioperative blood loss, drop of hemoglobin, number of transfused RBC/plasma, or hospital-stay length. The following morbidities did not differ between the two groups: bladder/u.. Read More»

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