title: Fertility sparing surgery on placenta invasion anomalies and placenta previa.
abstract: BACKGROUND
  Abnormal placental invasion has increased parallel with persistent rise in Caesarean delivery. Management relies on accurate diagnosis and delivery should be planned at an institution with appropriate expertise and resources for managing this condition.
  
  
  METHODS
  We present a case of a placenta invasion anomaly which is the major risk factors of peripartum deaths. In this case we try to explain our approach which reduces unnecessary hysterectomy rates.
  
  
  CONCLUSIONS
  In order to avoid postpartum hemorrhage and hysterectomy protocols, our approach which consists bilateral hypogastric arterial ligation, Bakri balloon tamponade and ıf necessary methotrexate therapy can be applied succesfully.
authors.affiliation: Zeynep Kamil Training and Research Hospital, Uskudar, İstanbul, Turkey.
authors.forename: Ateş
authors.initials: A
authors.lastname: Karateke
authors.affiliation: Sakarya Education and Training Hospital, Sakarya, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Küçükbaş
authors.affiliation: Zeynep Kamil Training and Research Hospital, Uskudar, İstanbul, Turkey.
authors.forename: Hamdullah
authors.initials: H
authors.lastname: Sozen
authors.affiliation: Zeynep Kamil Training and Research Hospital, Uskudar, İstanbul, Turkey.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Namazov
authors.affiliation: Zeynep Kamil Training and Research Hospital, Uskudar, İstanbul, Turkey.
authors.forename: Seda
authors.initials: S
authors.lastname: Cakır
authors.affiliation: Zeynep Kamil Training and Research Hospital, Uskudar, İstanbul, Turkey.
authors.forename: Yesim
authors.initials: Y
authors.lastname: Akdemir
keywords: Bakri balloon tamponade; Internal iliac artery ligation; Placenta accreta