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- W4387263159 abstract "The primary purpose compared the maternal outcomes measures of two different methods in the management of PASD (modified one-step conservative uterine surgery (MOSCUS), a new approach at Tu Du Hospital, in Vietnam versus Caesarean hysterectomy). The secondary aims to investigate some relative factors to the successful result of MOSUS. The retrospective descriptive study was conducted at Tu Du Hospital in Southern Vietnam between 2019 and 2020. The study encountered all pregnant women with gestational age more than 28 weeks underwent either Caesarean hysterectomy or uterus-preserving approach following MOSCUS method. Among 296 patients, the surgical time duration (mins), the estimated blood loss (mL), and red blood cell transfusion (mL) in MOSCUS group (n = 217) was significantly less than that in hysterectomy group (n = 79) (152.72 ± 42.23 vs. 185.13 ± 58.22 mins, 1000 vs. 1500 ml, 500 vs. 710 ml, respectively). Intraoperatively, the rate of visceral injuries in hysterectomy group was higher than that in MOSCUS group (p < 0.001). Meanwhile, the rate of postoperative infection in MOSCUS group was higher than that in hysterectomy group (p = 0.012). However, the patients were well responsive to the medical treatment. A total of 217 cases received MOSCUS management, 24 cases suffered from the secondary hysterectomy, the success rate was 89.9% (95% confidence interval (CI): 84.3-93.1%). Some main factors were found in association with the success MOSCUS including maternal age < 35, planned surgery, types of PASD, and estimated blood loss during surgery (OR: 5.16, 95% CI:1.96- 13.59, OR: 3.05, 95% CI: 1.08-8.62, OR: 3.62, 95% CI: 1.19-10.98, and OR: 49.66, 95% CI: 11.16- 221.02, respectively, p < 0.05). MOSCUS can be an alternatively acceptable method comparing to traditionally Caesarean hysterectomy where appropriate in clinical practice. Further studies in different settings are required to support these promising findings." @default.
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- W4387263159 date "2023-10-01" @default.
- W4387263159 modified "2023-10-18" @default.
- W4387263159 title "OC08.08: Modified one‐step conservative uterine surgery versus Caesarean hysterectomy in management of placenta accreta spectrum" @default.
- W4387263159 doi "https://doi.org/10.1002/uog.26374" @default.
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