Uterine artery and ovarian artery devascularization plus tranexamic acid- A new technique in management of major degree placenta previa.

Abstract

Purpose: to assess the efficacy of this technique in the management of women with major degree placenta previa and decreasing blood loss during LSCS through measurement of amount of bleeding & the rate of transfusion and compare the results with those of conventional management method. The secondary outcome which was ICU admission, cesarean hysterectomy due to failure of conservative management and number of packed RBCs units transfused. Materials and methods: Patients admitted to casualty of El-Demerdash hospital with major degree placenta previa, these patients was divided into two groups each one has 30 patients (the new technique group and the conventional method group). In the new technique uterine artery and ovarian artery devascularization plus tranexamic acid was done. Before admitting the included patients for surgery; an elaborate personal, obstetric, gynecologic, family, and surgical history was taken. Confirming the diagnosis of placenta previa and it’s degree using ultrasound. Complete blood count including hemoglobin level and hematocrit percent preoperative. After the surgery another Complete blood count was done to evaluate the finale hemoglobin level and hematocrit percent after 24 hours that was used to calculate blood loss using the blood loss equation. Also follow up for any intensive care unit admission, number of blood units given to any of the included patients, and how many patients underwent cesarean hysterectomy.