Expectant Management of Placenta Accreta Spectrum Disorders

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Management of placenta accreta.

Cesarean hysterectomy is considered the reference standard treatment for placenta accreta. In young women who want the option of future pregnancy and agree to close follow-up monitoring, conservative treatment is a valid option. Several key points of both cesarean hysterectomy and conservative treatment remain debatable, such as timing of delivery, attempted removal of the placenta, use of temp...

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Conservative management of placenta praevia with accreta.

It has been advocated that placenta accreta/percreta should be managed conservatively to avoid massive pelvic bleeding and preserve fertility. Diagnosis of this condition with high-resolution imaging investigations performed during the antenatal period facilitates discussion of management plans with other clinical disciplines (eg interventional radiologists), the patient, and her family. Three ...

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Placenta accreta: spectrum of US and MR imaging findings.

Placenta accreta (PA) encompasses various types of abnormal placentation in which chorionic villi attach directly to or invade the myometrium. PA is a significant cause of maternal morbidity and mortality and is now the most common reason for emergent postpartum hysterectomy. Its prevalence has risen tenfold in the United States over the past 50 years, primarily due to the increasing percentage...

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The Management of Placenta Accreta at Queen’s Hospital, Romford, UK

Placenta accreta, increta and percreta are all forms of morbidly adherent placenta (MAP) with abnormally invasive placentation. Histologically defined by trophoblastic invasion of the myometrium in the absence of intervening decidua, superficial myometrial invasion is classed as accreta, deeper myometrial invasion as increta, and invasion through the serosa or into adjacent pelvic organs as per...

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Surgical Management of Placenta Accreta — Does Staged Procedure Help?

Objectives: To determine whether staged procedure involving classical Caesarean section without removing the placenta followed by arterial embolisation before hysterectomy had any clinical value in the surgical management of placenta accreta. Methods: This retrospective case-controlled study was conducted in a tertiary obstetric unit in Hong Kong. All hysterectomy cases with confirmed histologi...

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ژورنال

عنوان ژورنال: The Surgery Journal

سال: 2021

ISSN: 2378-5128,2378-5136

DOI: 10.1055/s-0040-1722240