AI Article Synopsis
- The study aimed to identify risk factors linked to bladder injuries during surgeries for placenta accreta spectrum (PAS) in pregnant women.
- Out of 312 participants, there was a 9.3% rate of bladder injuries, with risk factors including previous cesarean deliveries and preoperative suspicion of placenta percreta.
- Understanding these risk factors can improve preoperative planning and management during PAS surgeries.
Article Abstract
Objectives: To identify risk factors associated with bladder injury during placenta accreta spectrum (PAS) surgeries.
Methods: This retrospective cohort study was conducted at the Chaim Sheba Medical Center. The study population included pregnant women diagnosed with PAS undergoing uterine-preserving surgery or hysterectomy. Women with and without operative bladder injury were compared by univariate analysis followed by multivariate analysis. A sub-analysis of women without preoperative sonographic suspicion of bladder invasion was performed.
Results: A total of 312 women were included in the study. Bladder injury incidence was 9.3% (n = 29). Uterine preservation was performed in 267/312 (85.6%) women. The number of previous cesarean deliveries and a preoperative sonogram suspicious for placenta percreta were found to be independent risk factors for intraoperative bladder injury (odds ratio [OR] 1.30, P = 0.019, and OR 5.23, P = 0.002, respectively). The number of previous cesarean deliveries and preoperative sonographic suspicion of placenta percreta were also associated with bladder injury in the sub-analysis (OR 1.30, P = 0.044 for previous cesarean deliveries, and OR 3.36, P = 0.036, for preoperative suspicion of bladder injury).
Conclusion: The number of previous cesarean deliveries and preoperative suspicion of placenta percreta are preoperative factors that can assist in preoperative planning and intraoperative management of PAS cases.
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| http://dx.doi.org/10.1002/ijgo.14567 | DOI Listing |
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