eBook The Difficult Cesarean Delivery Safeguards and Pitfalls 1st dition By Guy I. Benrubi, Erin H. Burnett, Kirsty K. Ward
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- 264
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- Education
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About this ebook
The Difficult Cesarean Delivery: Safeguards and Pitfalls (1st Edition), edited by Guy I. Benrubi, Erin H. Burnett, and Kristy K. Ward, provides highly illustrated, step-by-step guidance on managing complex cesarean sections. The book focuses heavily on avoiding surgical complications, mitigating pitfalls, and navigating the challenges brought on by the obesity epidemic and prior uterine surgeries. [1, 2, 3]
1. Abnormal Placentation (Placenta Accreta Spectrum)
- Physiology & Diagnosis: The physiology of abnormal placentation and pre-delivery diagnostic strategies.
- Diagnostic Imaging: Detailed imaging chapters focusing on the antenatal identification of placenta accreta, increta, and percreta.
- Intraoperative Management: Techniques for handling planned or emergent intraoperative encounters with the placenta accreta spectrum. [1, 2]
2. Surgical Planning and Techniques
- Choice of Incisions: Decision-making and execution regarding the type of abdominal and uterine incisions, tailored specifically for obese patients, individuals with multiple repeat cesareans, and cases of abnormal placentation. [1, 2]
- Operative Suite Prerequisites: Establishing the necessary surgical infrastructure, blood banking resources, and multidisciplinary team setups for high-risk deliveries. [1]
3. Complication Management & Injury Repair
- Peripartum Hysterectomy: Comprehensive, step-by-step technical guidance for performing a cesarean hysterectomy when uterine conservation is not possible.
- Organ Injuries: The prevention, identification, and surgical repair of intraoperative urologic and gastrointestinal injuries.
- Acute Postoperative Hemorrhage: Immediate strategies to manage heavy post-procedure bleeding and options for uterine conservation. [1]
4. Interventional Radiology and Anesthesia
- Endovascular Strategies: The role of interventional radiology in high-risk deliveries, covering intraoperative uterine artery catheterization, balloon occlusion, and transarterial embolization.
- Anesthetic Management: Tailoring anesthesia for complex, prolonged, or emergent cesarean procedures.
- Postoperative Care: Managing the recovery and potential complications specific to difficult cesarean outcomes. [1, 2]
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29.94 MB
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