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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Clinical and Radiologic Evolution in Conservative Management of Placenta Accreta Spectrum Disorder.

April M Griffith1, Susan E Dalton, Anne M Kennedy

  • 1Department of Radiology and Imaging Sciences and the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah.

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Conservative management of placenta accreta spectrum (PAS) involves retaining the placenta after cesarean delivery. This study outlines expected post-delivery care timelines for PAS patients managed conservatively, aiding future protocol development.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Placenta accreta spectrum (PAS) poses significant risks for maternal morbidity and mortality.
  • Cesarean hysterectomy is a standard but complex treatment, while conservative management is a less morbid alternative offered internationally.
  • Limited data exist on optimal post-delivery care for conservative PAS management.

Purpose of the Study:

  • To describe imaging and clinical findings in conservatively managed PAS cases post-delivery.
  • To establish an expected timeline for post-delivery care in conservative PAS management.
  • To guide the development of future clinical protocols for conservative PAS treatment.

Main Methods:

  • Retrospective case series of six patients with PAS managed conservatively.
  • Correlation of imaging findings (e.g., placental cystic changes, intrauterine gas) with clinical course.
  • Analysis of time to resolution, interventions, and laboratory trends.

Main Results:

  • Detailed imaging and clinical observations over several weeks post-delivery are presented.
  • Specific findings like placental cystic changes and intrauterine gas were noted.
  • The study provides insights into the clinical course and resolution patterns.

Conclusions:

  • The findings offer an expected timeline for post-delivery care in conservative PAS management.
  • This timeline can inform and guide the creation of standardized protocols.
  • Further research can build upon these findings to optimize conservative PAS treatment.