The Triple-P procedure as a conservative surgical alternative to peripartum hysterectomy for placenta percreta

Edwin Chandraharan, Sridevi Rao, Anna Maria Belli, Sabaratnam Arulkumaran

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

The reported maternal mortality for morbidly adherent placenta ranges from 7% to 10% worldwide. Current treatment modalities for this potentially life-threatening condition include radical approaches such as elective peripartum hysterectomy with or without bowel/bladder resection or ureteric re-implantation (for placenta percreta infiltrating these organs), and conservative measures such as compression sutures with balloon tamponade and the placenta remaining in situ. However, both conservative and radical measures are associated with significant maternal morbidity and mortality. The present article describes the Triple-P procedure-which involves perioperative placental localization and delivery of the fetus via transverse uterine incision above the upper border of the placenta; pelvic devascularization; and placental non-separation with myometrial excision and reconstruction of the uterine wall-as a safe and effective alternative to conservative management or peripartum hysterectomy.

Original languageEnglish
Pages (from-to)191-194
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume117
Issue number2
DOIs
Publication statusPublished - 2012

Keywords

  • Massive obstetric hemorrhage
  • Morbidly adherent placenta
  • Myometrial excision
  • Peripartum hysterectomy
  • Placenta percreta
  • Triple-P procedure

Fingerprint Dive into the research topics of 'The Triple-P procedure as a conservative surgical alternative to peripartum hysterectomy for placenta percreta'. Together they form a unique fingerprint.

  • Cite this