Preserve the Uterus For Placenta Accreta Spectrum Overlying Cesarean
Scar: a Step-by-step Surgical Technique
Abstract
Surgery for placenta accreta spectrum overlying the cesarean scar is
challenging for excessive blood loss. Elective cesarean hysterectomy
without disrupting the placenta was the generally accepted approach,
however, with high maternal morbidity, loss of fertility and
psychological trauma. Innovative approaches are being investigated for
uterine preservation. A step-by-step surgical technique was developed in
our group and has been used to preserve the uterus in all severe cases
with placenta increta/percreta overlying the cesarean scar. The
procedure details and the surgical outcomes are provided.