الفهرس 
The role of grey scale ultrasound, 2D and 3D power Doppler in diagnosing and predicting the surgical risks in patients with morbidly adherent placenta
Table of ContentsOnly 14 pages are availabe for public view
 |  | from | 143 |  |  |
| | | from | 143 | | |
Abstract
Introduction: Morbidly adherent placenta (MAP) de{uFB01}nes a spectrum of conditions including placenta accreta, increta and percreta, which are associated with signi{uFB01}cant maternal and fetal morbidity and mortality. The aim of this study was to assess the value of adding 3D power Doppler (as a diagnostic technique) to gray scale technique in the antenatal diagnosis of morbidly adherent placenta as well as predicting the surgical outcome regarding the intra operative morbidities Patients and methods: This study was conducted at the department of Obstetrics and Gynecology, Cairo University Hospital, Egypt. It started in January 2017 and ended in July 2018. The study included initially 60 patients with confirmed diagnosed of morbidly adherent placenta. However, during the course of the study, 4 patients decided to withdraw, 7 patients had an emergency delivery and 2 patients had spontaneous separation of the placenta during delivery. All the 13 patients were excluded. Finally, 47 patients were enrolled, and their data were analyzed and incorporated in the study. For each patient, we implemented the following: Antenatal diagnosis, Pre-operative preparation, Planning the surgical technique, Post-operative care, Assessment of the morbidities, and. Counseling and an informed written consent. The outcome parameters measured were blood loss (in liters), operative time (in minutes), injury for adjacent organs (ureters, bladder and intestine), and transfusion of packed RBC or fresh blood units (in ml)