Surgical Techniques for the Management of Placenta Accreta Spectrum

Fady Khoury-Collado; J. M. Newton; Olga R. Brook; Daniela A. Carusi; Vineet K. Shrivastava; Brian A. Crosland; Karin A. Fox; Meena Khandelwal; Amer K. Karam; Kelly A. Bennett; Adam T. Sandlin; Scott A. Shainker; Brett D. Einerson; Michael A. Belfort

doi:10.1055/s-0043-1761636

Surgical Techniques for the Management of Placenta Accreta Spectrum

Fady Khoury-Collado, J. M. Newton, Olga R. Brook, Daniela A. Carusi, Vineet K. Shrivastava, Brian A. Crosland, Karin A. Fox, Meena Khandelwal, Amer K. Karam, Kelly A. Bennett, Adam T. Sandlin, Scott A. Shainker, Brett D. Einerson, Michael A. Belfort

Obstetrics and Gynecology

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

The surgical management of placenta accreta spectrum (PAS) is often challenging. There are a variety of techniques and management options described in the literature ranging from uterine sparing to cesarean hysterectomy. Following the inaugural meeting of the Pan-American Society for Placenta Accreta Spectrum a multidisciplinary group collaborated to describe collective recommendations for the surgical management of PAS. In this manuscript, we outline individual components of the procedure and provide suggested direction at key points of a cesarean hysterectomy in the setting of PAS. Key Points The surgical management of PAS requires careful planning and expertise. Multidisciplinary team care for pregnancies complicated by PAS can decrease morbidity and mortality. Careful surgical techniques can minimize risk of significant hemorrhage by avoiding pitfalls.

Original language	English (US)
Pages (from-to)	970-979
Number of pages	10
Journal	American journal of perinatology
Volume	40
Issue number	9
DOIs	https://doi.org/10.1055/s-0043-1761636
State	Published - Jun 19 2023

Keywords

cesarean hysterectomy
placenta accreta spectrum
surgical treatment

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

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10.1055/s-0043-1761636

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Khoury-Collado, F., Newton, J. M., Brook, O. R., Carusi, D. A., Shrivastava, V. K., Crosland, B. A., Fox, K. A., Khandelwal, M., Karam, A. K., Bennett, K. A., Sandlin, A. T., Shainker, S. A., Einerson, B. D., & Belfort, M. A. (2023). Surgical Techniques for the Management of Placenta Accreta Spectrum. American journal of perinatology, 40(9), 970-979. https://doi.org/10.1055/s-0043-1761636

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title = "Surgical Techniques for the Management of Placenta Accreta Spectrum",

abstract = "The surgical management of placenta accreta spectrum (PAS) is often challenging. There are a variety of techniques and management options described in the literature ranging from uterine sparing to cesarean hysterectomy. Following the inaugural meeting of the Pan-American Society for Placenta Accreta Spectrum a multidisciplinary group collaborated to describe collective recommendations for the surgical management of PAS. In this manuscript, we outline individual components of the procedure and provide suggested direction at key points of a cesarean hysterectomy in the setting of PAS. Key Points The surgical management of PAS requires careful planning and expertise. Multidisciplinary team care for pregnancies complicated by PAS can decrease morbidity and mortality. Careful surgical techniques can minimize risk of significant hemorrhage by avoiding pitfalls.",

keywords = "cesarean hysterectomy, placenta accreta spectrum, surgical treatment",

author = "Fady Khoury-Collado and Newton, {J. M.} and Brook, {Olga R.} and Carusi, {Daniela A.} and Shrivastava, {Vineet K.} and Crosland, {Brian A.} and Fox, {Karin A.} and Meena Khandelwal and Karam, {Amer K.} and Bennett, {Kelly A.} and Sandlin, {Adam T.} and Shainker, {Scott A.} and Einerson, {Brett D.} and Belfort, {Michael A.}",

year = "2023",

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doi = "10.1055/s-0043-1761636",

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AU - Khoury-Collado, Fady

AU - Newton, J. M.

AU - Brook, Olga R.

AU - Carusi, Daniela A.

AU - Shrivastava, Vineet K.

AU - Crosland, Brian A.

AU - Fox, Karin A.

AU - Khandelwal, Meena

AU - Karam, Amer K.

AU - Bennett, Kelly A.

AU - Sandlin, Adam T.

AU - Shainker, Scott A.

AU - Einerson, Brett D.

AU - Belfort, Michael A.

PY - 2023/6/19

Y1 - 2023/6/19

N2 - The surgical management of placenta accreta spectrum (PAS) is often challenging. There are a variety of techniques and management options described in the literature ranging from uterine sparing to cesarean hysterectomy. Following the inaugural meeting of the Pan-American Society for Placenta Accreta Spectrum a multidisciplinary group collaborated to describe collective recommendations for the surgical management of PAS. In this manuscript, we outline individual components of the procedure and provide suggested direction at key points of a cesarean hysterectomy in the setting of PAS. Key Points The surgical management of PAS requires careful planning and expertise. Multidisciplinary team care for pregnancies complicated by PAS can decrease morbidity and mortality. Careful surgical techniques can minimize risk of significant hemorrhage by avoiding pitfalls.

AB - The surgical management of placenta accreta spectrum (PAS) is often challenging. There are a variety of techniques and management options described in the literature ranging from uterine sparing to cesarean hysterectomy. Following the inaugural meeting of the Pan-American Society for Placenta Accreta Spectrum a multidisciplinary group collaborated to describe collective recommendations for the surgical management of PAS. In this manuscript, we outline individual components of the procedure and provide suggested direction at key points of a cesarean hysterectomy in the setting of PAS. Key Points The surgical management of PAS requires careful planning and expertise. Multidisciplinary team care for pregnancies complicated by PAS can decrease morbidity and mortality. Careful surgical techniques can minimize risk of significant hemorrhage by avoiding pitfalls.

KW - cesarean hysterectomy

KW - placenta accreta spectrum

KW - surgical treatment

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ER -

Surgical Techniques for the Management of Placenta Accreta Spectrum

Abstract

Keywords

ASJC Scopus subject areas

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