title: Conservative management of placenta percreta: a stepwise approach.
abstract: OBJECTIVE
  To describe a modified surgical approach in the form of stepwise cesarean section in placenta percreta.
  
  
  METHODS
  We conducted a prospective observational study. A total of 71 patients with placenta percreta were subjected to the new stepwise surgical approach and uterine repair at the time of cesarean delivery.
  
  
  RESULTS
  The procedure was successful in controlling the bleeding and preserving the patient's uterus in 65 (91.5%) women. Ten patients (14.1%) had urinary tract complications, nine (90%) were managed during cesarean section and one presented late in the form of vesicouterine fistula.
  
  
  CONCLUSIONS
  A stepwise cesarean section is safe and effective procedure that can be applied in placenta percreta.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Shabana
authors.forename: Muhammad
authors.initials: M
authors.lastname: Fawzy
authors.forename: Waleed
authors.initials: W
authors.lastname: Refaie
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D005402:Fistula / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D010921:Placenta Accreta / Q000601:surgery*; D006473:Postpartum Hemorrhage / Q000601:surgery; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011446:Prospective Studies; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014599:Uterus / Q000601:surgery*