Özet:

Purpose: The placenta acretate spectrum (PAS), which contains plasenta acretate, incretate and percrate, defines an abnormal placental invasion. PAS is associated with increased mortality and morbidity and injury of neighboring organs such as the urethra, the edema and the intestine. In literature, the urine is as the most frequently injured organ. In our study, we aimed at assessing the postpartum hysterectomy mesh functions and incontinence frequency for PAS. Material and Method: It is a single-centric prospective study conducted between January 2016 and January 2018. A total of 81 patients planned and applied peripartum hysterectomy due to the PAS was included. 22 patients were dismissed due to unavailable data. Patients were divided into two groups, n = 20 and n = 25 with a mesh injury. The group, which has been wounded by the urethra, was also divided into two subgroups, which would be ≥2 cm (n=8) and <2 cm (n=12). Results: There was no statistically meaningful difference between the sociodemographic characteristics between the two groups. There was no significant difference between the two laboratory parameters. There was no meaningful difference between the two groups in terms of the first sense of digestion, normal digestion desire, mesh release time, maximum uretral pressure, mesh pressure, maximum uretral closing pressure and residual volume (p>0,05), strong digestion desire (p>0,05) and 439,2±70,05 vs 391±67,34, p=0,024) and maximum mesh capacity (400,8±65,76 vs 351±57,39, p=0,011) was significantly lower in the group of mesh injuries. Similarly, compared to subgroups, there was no difference in sociodemographic characteristics in terms of laboratory parameters (p>0,05). The result: the postoperative results of mesh damage during hysterectomy for PAS should be observed.

Anahtar Kelimeler: