Conservative Surgical Management of Placenta Accreta Spectrum: A Pragmatic Approach.

Details

Serval ID
serval:BIB_5E8213975B5C
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Conservative Surgical Management of Placenta Accreta Spectrum: A Pragmatic Approach.
Journal
Journal of investigative surgery
Author(s)
Sichitiu J., El-Tani Z., Mathevet P., Desseauve D.
ISSN
1521-0553 (Electronic)
ISSN-L
0894-1939
Publication state
Published
Issued date
01/08/2019
Peer-reviewed
Oui
Pages
1-9
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
In the last 30 years, with increasing cesarean section rates, the incidence of the placenta accreta spectrum has also increased. It is estimated that by the year 2020 there will be nearly 9000 cases annually in the United States. Currently, no consensus exists regarding optimal management. Conventional treatment by cesarean-hysterectomy is challenging, with a high maternal morbidity due to massive hemorrhage, and surgical complications such as urinary tract, bowel and pelvic nerve injury, in addition to loss of fertility and its accompanying psychological trauma. Innovative approaches seek to preserve the uterus with the adherent placenta in situ, thus maintaining fertility and potentially reducing hemorrhage and adjacent organ injury. This review reports strategies for conservative treatment of such conditions, based on the current literature.
Keywords
accreta, conservative management, creta, increta, invasive placenta, percreta, placenta accreta spectrum, uterine preservation
Pubmed
Web of science
Create date
30/08/2019 16:58
Last modification date
21/01/2021 7:26
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