title: Successful Management of Two Cases of Placenta Accreta and a Literature Review: Use of the B-Lynch Suture and Bilateral Uterine Artery Ligation Procedures.
abstract: BACKGROUND
  Placenta accreta is an increasingly common complication of pregnancy that can result in massive hemorrhage.
  
  
  METHODS
  We describe two cases of placenta accreta, with successful conservative management in a referral hospital in Tehran, Iran. In both cases, two procedures were performed: compression suture (B-Lynch) and a perfusion-decreasing procedure (bilateral uterine artery ligation). We also present the results of a narrative literature review.
  
  
  CONCLUSIONS
  The double B-Lynch and uterine arterial ligation procedure in cases of abnormal placentation might be strongly considered in fertility preservation, coagulopathy, coexisting medical disease, blood access shortage, low surgical experience, distant local hospitals, and no help.
authors.affiliation: Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran; Department of Medical Education, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
authors.forename: Maliheh
authors.initials: M
authors.lastname: Arab
authors.affiliation: Department of Obstetrics and Gynecology Shariati Medical Center, Tehran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Behnaz
authors.initials: B
authors.lastname: Ghavami
authors.affiliation: Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
authors.forename: Samaneh
authors.initials: S
authors.lastname: Saraeian
authors.affiliation: Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
authors.forename: Samaneh
authors.initials: S
authors.lastname: Sheibani
authors.affiliation: Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Abbasian Azar
authors.affiliation: Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
authors.forename: Seyed-Mostafa
authors.initials: SM
authors.lastname: Hosseini-Zijoud
keywords: Ligation; Placenta Accreta; Postpartum Hemorrhage; Uterine Artery