Evidence map›Paper›PMID 38218800›Full record

ArticleBMC surgery2024

Evaluation of the holding-up uterus technique for placenta accreta spectrum cesarean hysterectomy in shocked patients with a high shock index: a case series study.

Jin Takahashi, Makoto Orisaka, Daisuke Inoue, Hiroshi Kawamura, Nozomu Takahashi, Hideaki Tsuyoshi, Akiko Shinagawa, Tetsuji Kurokawa, Yoshio Yoshida

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 100% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Jin TakahashiDepartment of Obstetrics and Gynecology, University of Fukui, Fukui, Japan.
Makoto OrisakaDepartment of Obstetrics and Gynecology, University of Fukui, Fukui, Japan.
Daisuke InoueDepartment of Obstetrics and Gynecology, University of Fukui, Fukui, Japan.
Hiroshi KawamuraDepartment of Obstetrics and Gynecology, University of Fukui, Fukui, Japan.
Nozomu TakahashiDepartment of Obstetrics and Gynecology, University of Fukui, Fukui, Japan.
Hideaki TsuyoshiDepartment of Obstetrics and Gynecology, University of Fukui, Fukui, Japan.
Akiko ShinagawaDepartment of Obstetrics and Gynecology, University of Fukui, Fukui, Japan.
Tetsuji KurokawaDepartment of Obstetrics and Gynecology, University of Fukui, Fukui, Japan.
Yoshio YoshidaDepartment of Obstetrics and Gynecology, University of Fukui, Fukui, Japan. yyoshida@u-fukui.ac.jp.
University of Fukui · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlacenta accreta spectrum (PAS) cesarean hysterectomy is performed under conditions of shock and can result in serious complications. This study aimed to evaluate the usefulness of the "Holding-up uterus" surgical technique with a shock index (S.I.) > 1.5.

methodsTwelve patients who underwent PAS cesarean hysterectomy were included in the study.

resultsGroup I had S.I. > 1.5, and group II had S.I. ≤ 1.5. Group I had more complications, but none were above Grade 3 or fatal. Preoperative scheduled uterine artery embolization did not result in serious complications, but three patients who had emergency common iliac artery balloon occlusion (CIABO) and a primary total hysterectomy with S.I. > 1.5 had postoperative Grade 2 thrombosis. Two patients underwent manual ablation of the placenta under CIABO to preserve the uterus, both with S.I. > 1.5.

conclusionsThe study found that the "Holding-up uterus" technique was safe, even in critical situations with S.I. > 1.5. CIABO had no intervention effect. The study also identified assisted reproductive technology pregnancies with a uterine cavity length of less than 5 cm before conception as a critical factor.

Indexed as

Balloon OcclusionPlacenta AccretaBlood Loss, SurgicalFemaleHumansHysterectomyIliac ArteryPregnancyRetrospective StudiesUterusCesarean hysterectomyHolding-up uterus techniquePlacenta accreta spectrumPreoperative interventionShock index

Identifiers

PMID38218800
PMCPMC10787967
OpenAlexW4390837718

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.