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Conservative surgical approach: The Triple P procedure.
Ana Piñas-Carrillo1, Edwin Chandraharan2
1St George's University Hospitals NHS Foundation Trust, Blackshaw Road, SW17 0QT, London, UK.
Best Practice & Research. Clinical Obstetrics & Gynaecology
|August 11, 2020
Summary
The incidence of placenta accreta spectrum (PAS) disorders is rising. A new Triple P procedure offers a conservative surgical alternative to hysterectomy, aiming to reduce complications for affected mothers.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Placenta accreta spectrum (PAS) disorders, previously known as abnormally invasive placenta (AIP), have seen a global increase.
- Risk factors include rising Cesarean section rates, uterine surgeries, and advanced maternal age.
Purpose of the Study:
- To present the Triple P procedure, an alternative conservative surgical approach for PAS.
- To reduce intra- and post-operative complications compared to peripartum hysterectomy.
Main Methods:
- The Triple P procedure involves three key steps: perioperative localization of the placental edge, pelvic devascularization, and placental non-separation with myometrial excision and repair.
- This technique aims to minimize complications associated with hysterectomy and placental retention.
Main Results:
- The study presents the Triple P procedure as a novel conservative management strategy.
- The aim is to decrease surgical time and reduce risks such as infection, sepsis, postpartum hemorrhage, and coagulopathy.
Conclusions:
- The Triple P procedure offers a potentially safer, conservative surgical option for managing placenta accreta spectrum disorders.
- Further research and clinical application are needed to validate its efficacy and safety profile compared to traditional treatments.
