Outcome of Delayed Hysterectomy for Placenta Percreta in a Tertiary Care Center of a Third World Country— a Descriptive Study

Abstract

Objective: To analyze the amount of hemorrhage, damage to the surrounding structures, need for transfusions,

PPH, sepsis and mortalities arising as a result of delayed hysterectomies for Placenta Percreta.

Methods: It was a descriptive study conducted at OBGY unit 3, Sir Ganga Ram Hospital from March 2021 to

March 2022. Data was taken from specially maintained registers for placenta accreta spectrum. Patients undergoing

delayed hysterectomies for inoperable placenta percretas were selected and their data regarding the mentioned

outcome measures was collected and analyzed in SPSS.

Results: Thirteen (13) patients underwent delayed hysterectomy in one year. More than half of the patients

had four litres or less blood loss. They showed better response to haemorrhage. No relationship of amount of

bleeding with interval between the surgeries, previous surgeries or parity was noted. No ureterovesical damage.

No sepsis. PPH was noted in 15% of patients and mild spotting in 15%.One death of a morbidly obese patient was

observed. No death could be attributed to retention of placenta.

Conclusion: Encouraging results were seen where patient survival was concerned. Excellent results were

noted where collateral damage to bladder and ureters was concerned. Minimum complications were noted,

making this a viable option for patients with placenta Percreta, the most serious placental condition within the

placenta accreta spectrum.