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Conservative management of placenta percreta: a stepwise approach

  • Maternal-Fetal Medicine
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A Letter to the Editor to this article was published on 12 November 2014

Abstract

Purpose

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.

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Conflict of interest

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt

    Ahmed Shabana, Muhammad Fawzy & Waleed Refaie

Authors
  1. Ahmed Shabana
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  2. Muhammad Fawzy
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  3. Waleed Refaie
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Corresponding author

Correspondence to Muhammad Fawzy.

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Shabana, A., Fawzy, M. & Refaie, W. Conservative management of placenta percreta: a stepwise approach. Arch Gynecol Obstet 291, 993–998 (2015). https://doi.org/10.1007/s00404-014-3496-x

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  • DOI: https://doi.org/10.1007/s00404-014-3496-x

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