Outcomes of the first 50 patients with abnormally invasive placenta managed using the "Triple P Procedure" conservative surgical approach.

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Pinas-Carrillo, A; Bhide, A; Moore, J; Hartopp, R; Belli, A-M; Arulkumaran, S; Thilaganathan, B; Chandraharan, E (2019) Outcomes of the first 50 patients with abnormally invasive placenta managed using the "Triple P Procedure" conservative surgical approach. Int J Gynaecol Obstet, 148 (1). pp. 65-71. ISSN 1879-3479 https://doi.org/10.1002/ijgo.12990
SGUL Authors: Arulkumaran, Sabaratnam Bhide, Amarnath

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Abstract

OBJECTIVE: To determine maternal outcomes for women with abnormally invasive placenta (AIP) managed using the Triple P Procedure and establish its safety as a conservative surgical management option. METHODS: A retrospective study of the outcomes of the first 50 patients who underwent the Triple P Procedure for AIP from September 2010 to May 2017 at St George's Maternity Unit. Maternity case notes and the database were reviewed to determine the volume of bleeding, procedure-related complications, hysterectomy rate, and postoperative hospitalization. RESULTS: Mean operative blood loss was 2318 mL (range, 400-7300 mL and the incidence of bladder and ureteric injuries was 2% (n=1) and 0%, respectively. Median length of hospital stay was 4 days (range, 2-8 days). Three women (6.0%) developed arterial thrombosis without any long-term complications and none of the patients required peripartum hysterectomy. CONCLUSION: The Triple P Procedure should be considered as a conservative, less risky alternative to a peripartum hysterectomy during counselling prior to surgery for women with AIP.

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This is the peer reviewed version of the following article: Pinas‐Carrillo, A., Bhide, A., Moore, J., Hartopp, R., Belli, A.‐M., Arulkumaran, S., Thilaganathan, B. and Chandraharan, E. (2020), Outcomes of the first 50 patients with abnormally invasive placenta managed using the “Triple P Procedure” conservative surgical approach. Int J Gynecol Obstet, 148: 65-71, which has been published in final form at https://doi.org/10.1002/ijgo.12990. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

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