The resective-constructive surgery, detailed in prior research by Palacios-Jaraquemada JM, involves excising the placenta and its attachment on the myometrium, with modifications including the systematic use of a double JJ probe, omitting arterial ligation, and prioritizing careful dissection and reconstruction. A prospective single-center study conducted from January 4, 2020 to February 2, 2024, at the Tunisian maternity ward including cases of placenta accreta, increta and percreta. Data on the estimation of blood loss, complications, transfusions and intensive care admissions were recorded. Diagnosis of placenta accreta was based on imaging and histopathology. The blood loss calculation incorporates total blood volume and changes in hematocrit.
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Estimated blood loss
Timeframe: peroperatively
Hemoglobin variation
Timeframe: First 24 hours]
Transfusion requirements
Timeframe: First 24 hours
Procedure duration
Timeframe: peroperatively
Intensive care transfer rate
Timeframe: first 24 hours