"One-stop" hybrid surgery treatment of medical care cooperation in patients with pernicious placenta previa by implantation

doi:10.3877/cma.j.issn.2095-5782.2022.03.018

Abstract

Abstract:

Objective

To explore the application value and importance of "one-stop" hybrid surgery in the treatment of patients with pernicious placenta previa by implantation.

Methods

This paper retrospectively analyzed the cases of patients with pernicious placenta previa by implantation who were treated by multidisciplinary cooperative hybrid surgery and summarized the key points of medical care cooperation and nursing coordination in "one-stop" hybrid surgery.

Results

The "one-stop" hybrid surgery with multidisciplinary cooperation and the "L" type nursing cooperation mode ensured the smooth completion of the surgery without postoperative complications, and the puerpera was discharged on the fourth day after surgery.

Conclusions

Patients with pernicious placenta previa by implantation are critically ill and difficult to operate.The key points for the success of "one-stop" hybrid surgery are multidisciplinary consultation, radiation protection, safe transport, the skilled multidisciplinary medical care and predictive nursing measures according to potential complications.

Key words: Pernicious placenta previa, Hybrid surgery, Internal iliac artery occlusion, Operation cooperation

Tingan Yang, Qiuyang Li, Xuelian Liu, Qian Gao, xian Fu, Haipeng He. "One-stop" hybrid surgery treatment of medical care cooperation in patients with pernicious placenta previa by implantation[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2022, 10(03): 320-324.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2022.03.018

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2022/V10/I03/320

Figures/Tables 3

References 13

[1]	蒋艳敏, 刘慧姝, 陈昆山. 预防性双髂内动脉球囊闭塞术在13例凶险型前置胎盘伴胎盘植入患者中的应用效果[J]. 中国围产医学杂志, 2013, 16(8): 461-464.
[2]	中华医学会妇产科学分会产科学组. 产后出血预防与处理指南(2014)[J].中华妇产科杂志, 2014, 49(9): 641-646.
[3]	Lumbiganon P, Laopaiboon M, Gülmezoglu AM, et al. Method of delivery and pregnancy outcomes in Asia:the WHO global survey on maternal and perinatal health 2007 -08[J]. Lancet, 2010, 375(9713): 490-499.
[4]	Chattopadhyay SK, Kharif H, Sherbeeni MM. Placenta praevia and accrete after previous caesarean section[J]. Eur J Obstet Gynecol Reprod Biol, 1993, 52(3): 151-156.
[5]	Angileri SA, Mailli L, Raspanti C, et al. Prophylactic occlusion balloon placement in internal iliac arteries for the prevention of postpartum haemorrhage due to morbidly adherent placenta: short term outcomes[J]. Radiol Med, 2017, 122(10): 798-806.
[6]	Fan Y, Gong X, Wang N, et al. A prospective observational study evaluating the efficacy of prophylactic internal iliac artery balloon catheterization in the management of placenta previa -accreta: A STROBE compliant article[J]. Medicine (Baltimore), 2017, 96(45): e8276.
[7]	Zhou X, Sun X, Wang M, et al. The effectiveness of prophylactic internal iliac artery balloon occlusion in the treatment of patients with pernicious placenta previa coexisting with placenta accreta[J]. J Matern Fetal Neonatal Med, 2021, 34(1): 93-98.
[8]	王艳丽. 多学科合作在凶险性前置胎盘并胎盘植入剖宫产中的价值[J]. 中华介入放射学电子杂志, 2018, 6(3): 195-198.
[9]	周文杰, 吕朋华, 卢丹, 等. "一站式"双介入技术在凶险型前置胎盘并胎盘植入剖宫产中的应用[J]. 中华介入放射学电子杂志, 2018, 6(1): 22-26.
[10]	杨挺岸, 刘慧. 一例腹主动脉瘤腔内修复术后支架感染行腋-双股动脉旁路术的护理配合[J]. 中国实用护理杂志, 2018, 34(19): 1474-1477.
[11]	郭莉, 何丽, 徐梅等.手术室护理实践指南[M]. 北京: 人民卫生出版社, 2020: 58-59.
[12]	The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103[J]. Ann ICRP, 2007, 37(2-4): 1-332.
[13]	Thabet A, Kalva SP, Liu B, et al. Interventional radiology in pregnancy complications: indications, technique, and methods for minimizing radiation exposure[J]. Radiographics, 2012, 32(1): 255-274.

Please choose a citation manager

Content to export