Efficacy (In Terms of Avoiding Hysterectomy) of the Triple P Procedure in Managing Morbidly Adherent Placenta

Q4 Health Professions

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-28 DOI:10.51253/pafmj.v73i6.7590

Sadaf Mumtaz, Nighat Afridi, Salma Nisar, Hira Shafqat, Waseem Yousaf, Nafeesa Hiba

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Abstract

Objective: To determine the efficacy (in terms of avoiding hysterectomy) of the Triple P procedure in managing morbidly adherent placenta. Study Design: Case series. Place and Duration of the Study: Department of Obstetrics & Gynaecology, Combined Military Hospital, Peshawar Pakistan, from Dec 2018 to Mar 2020. Methodology: A total of 56 pregnant women of gestational age ≥32 weeks with the morbidly adherent placenta were included. Caesarean section was done in each patient by the consultant gynaecologist, and then the Triple P procedure was done. Efficacy in each patient was noted. Results: The mean age of the study participants was 30.79±4.42 years. In our analysis, the mean parity was 3.05±0.88. The mean number of caesarean sections was 2.00±1.11. The Triple P procedure was effective (in avoiding hysterectomy) in managing morbidly adherent placentas in 53(94.64 %) participants. Conclusion: This study concluded that the Triple P procedure's efficacy (in terms of avoiding hysterectomy) in managing morbidly adherent placenta is very high.

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三P手术在处理病态粘连胎盘方面的疗效（从避免子宫切除的角度看

目的确定三P手术在处理病态粘连胎盘方面的疗效（避免子宫切除）。研究设计：病例系列。研究地点和时间：巴基斯坦白沙瓦联合军事医院妇产科，2018 年 12 月至 2020 年 3 月。研究方法：共纳入 56 名孕龄≥32 周的病态胎盘粘连孕妇。由妇科顾问为每位患者实施剖腹产手术，然后进行三P手术。记录每位患者的疗效。研究结果研究参与者的平均年龄为（30.79±4.42）岁。在我们的分析中，平均胎次为（3.05±0.88）。平均剖腹产次数为（2.00±1.11）次。在处理病态粘连胎盘方面，53 名参与者（94.64%）采用了 Triple P 手术（避免了子宫切除术）。结论本研究得出结论，三重P术在处理病态粘连胎盘方面的疗效非常高（避免了子宫切除术）。

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