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»