Is temporary clamping of the bilateral common iliac artery beneficial in reducing intraoperative blood loss in patients with segmental resected anterior placenta percreta?: A prospective observational study

• Published in: International journal of gynecology and obstetrics Vol. 167; no. 2; pp. 714 - 719
• Main Authors: Özcan, Hüseyin Çağlayan, Barut, Mustafa Baturalp, Sucu, Seyhun, Bademkiran, Muhammed Hanifi, Tepe, Neslihan Bayramoğlu, Özcan, Zeynep Özer, Kazaz, Tanyeli Güneyligil
• Format: Journal Article
• Language: English
• Published: United States 01.11.2024
• Subjects: Adult; Blood Loss, Surgical - prevention & control; blunt dissection; Cesarean Section - methods; Constriction; Female; Humans; Iliac Artery - surgery; intraoperative blood loss; Placenta Accreta - surgery; placenta accreta spectrum; placenta percreta; Pregnancy; Prospective Studies; segmental uterine resection; temporary clamping; temporary clamping; blunt dissection; placenta accreta spectrum; placenta percreta; segmental uterine resection; intraoperative blood loss
• ISSN: 0020-7292; 1879-3479; 1879-3479
• DOI: 10.1002/ijgo.15720

Objective The aim of our study was to investigate whether temporary clamping of the bilateral common iliac artery (BCIA) has a role in reducing intraoperative blood loss in patients with segmentally resected anterior placenta percreta or not. Methods This prospective observational study included patients with anterior placenta percreta who underwent cesarean segmental resection either with BCIA temporary clamping or without clamping between October 2022 and September 2023. Results A comparison of demographic, obstetric, and surgical parameters and the need for transfusion (except for postoperative erythrocyte suspension transfusion) between the two groups revealed no significant difference (P > 0.05). In contrast, the amount of intraoperative blood loss (P = 0.001) (1974 ± 749 mL vs 2702 ± 615 mL) and postoperative erythrocyte suspension transfusion (P = 0.046) in patients who underwent BCIA temporary clamping were significantly lower than in those who did not undergo BCIA temporary clamping. Conclusion Temporary clamping of BCIA plays a significant favorable role both in reducing blood loss and the need for postoperative transfusion in patients with placenta percreta who underwent segmental uterine resection. Synopsis Temporary clamping of BCIA plays a positive role in reducing blood loss in patients with placenta percreta who underwent segmental uterine resection.