title: A comprehensive surgical procedure in conservative management of placenta accreta: a case series.
abstract: We aimed to present a combined surgical procedure in conservative treatment of placenta accreta based on surgical outcomes in our cohort of patients. The study was designed as a prospective cohort series study. The setting involved two education and research hospitals in Turkey. This study included 12 patients with placenta accreta who were prenatally diagnosed and managed. We offered the patients the choice of conservative or nonconservative treatment. We then offered 2 choices for patients who had preferred conservative treatment, leaving the placenta in situ as is the classical procedure, or our surgical procedure. One patient preferred nonconservative treatment, the others opted for our procedure.We evaluated demographic and obstetric characteristics of patients, sonographic and operative parameters of patients, and surgical outcomes. We operated on 11 patients using this surgical procedure that we have developed for placenta accreta cases. We found that there was no need for hysterectomy in any patient, and we preserved the uterus for all of these patients. No patient presented any septic complication or secondary vaginal bleeding.Our surgical procedure seems to be effective and useful in the conservative treatment of placenta accreta.
authors.affiliation: From the Department of Obstetrics and Gynecology (SK, EE, SA), School of Medicine, Izmir Katip Celebi University, Izmir; and Department of Obstetrics and Gynecology (SG), School of Medicine, Kafkas University, Kars, Turkey.
authors.forename: Sefa
authors.initials: S
authors.lastname: Kelekci
authors.forename: Emre
authors.initials: E
authors.lastname: Ekmekci
authors.forename: Serpil
authors.initials: S
authors.lastname: Aydogmus
authors.forename: Servet
authors.initials: S
authors.lastname: Gencdal
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010921:Placenta Accreta / Q000601:surgery*; D011247:Pregnancy; D011446:Prospective Studies