Outcome of delayed hysterectomy for placenta percreta in a tertiary care center of a third world country— a descriptive study

Objective: To analyze the amount of hemorrhage, damage to the surrounding structures, need for transfusions, PPH, sepsis and mortalities arising as a result of delayed hysterectomies for Placenta Percreta. Material and method: It is a descriptve study. Data is taken from specially maintained registers for placenta accreta spectrum. Patients undergoing delayed hysterectomies for in operable placenta percretas were selected and their data regarding the mentioned outcome measures was collected and analysed in SPSS system for statistics. The study period is of one year. Results: Thirteen patients underwent delayed hysterectomy in one year. More than half of the patients had four ltr or less blood loss. They showed better response to haemorrhage. No relationship of amount of bleeding with interval between the surgeries, previous surgeries or parity was noted. No ureterovesical damage. No sepsis. PPH was noted in 15% of patients and mild spotting in 15%. One mortality of a morbidly obese patient. No death could be attributed to retention of placenta. Conclusion:   Encouraging results were seen where patient survival was concerned. Excellent results were noted where collateral damage to bladder and ureters was concerned. Minimum complications were noted, making this a viable option for patients with placenta Percreta, the most serious placental condition within the placenta accreta spectrum.