Journal of population therapeutics and clinical pharmacology

Background: Placenta accreta, percreta, and morbidly adherent placenta (MAP) pose a great obstetric dilemma.The normal procedure, cesarean hysterectomy, is linked to high maternal morbidity because of complications such as excessive blood loss, infections, and increased recovery periods.On the other hand, myometrial resection is a conservative procedure that seeks to salvage the uterus and may have fewer complications and lead to speedier healing.Objective: The purpose of the present study is to compare the maternal outcomes of cesarean hysterectomy and myometrial resection in patients with morbidly adherent placenta based on the blood loss, transfusion, hospitalization, and the after-effects.Methods: The study was a retrospective comparative study that was carried out at Ganga Ram Hospital Lahore in the duration from January, 2025 to June, 2025.This was a sample of 16 patients with MAP who were separated into two groups: 8 undergoing cesarean hysterectomy and 8 undergoing myometrial resection.The blood loss, blood transfusion rates, hospital stay, and complications were taken and analyzed.Results: The myometrial resection group experienced very little blood loss (mean 1,500 mL) compared to the cesarean hysterectomy group (mean 2,500 mL).Moreover, the myometrial resection group also needed fewer blood transfusions (25 per cent) than the hysterectomy group (75 per cent).This difference in the length of stay significantly reduced the stay in the hospital in the myometrial resection group (6 days) versus the hysterectomy group (10 days).The number of postoperative complications (e.g., infections and organ injuries) was lower in the group of myometrial resection.Conclusion: Cesarean hysterectomy is a well-known operation with numerous adverse effects, including excessive blood loss, prolonged hospitalization, and complications.Myometrial resection can be used to provide an alternative option to the popular cesarean hysterectomy in a few instances of morbidly adherent placenta, with better maternal outcomes.