臨床婦人科産科76巻12号

2022年12月発行

今月の臨床 帝王切開分娩のすべて―この1冊でわかるNew Normal Standard

術式の工夫

前置癒着胎盤の帝王切開・Cesarean hysterectomy

著者： 西島浩二¹

所属機関： ¹新潟大学医歯学総合病院総合周産期母子医療センター

ページ範囲：P.1211 - P.1220

文献概要

●前置癒着胎盤に帝王切開を行う際は，事前に関連部署と患者情報を共有し，輸血ができる体制，子宮摘出に移行できる体制を整える．

●子宮底部横切開法は適応が限られた術式であるが，従来の手術法で対処しきれない症例に遭遇した際には有効な帝王切開法となる．

●cesarean hysterectomyを行う際は，妊娠子宮の特徴を理解し，尿管損傷に注意しながら，挟鉗・切断・結紮の操作を確実に行う．

参考文献

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