Conservative Surgical Management of Placenta Accreta Spectrum : A Pragmatic Approach
In the last 30 years, with increasing cesarean section rates, the incidence of the placenta accreta spectrum has also increased. It is estimated that by the year 2020 there will be nearly 9000 cases annually in the United States. Currently, no consensus exists regarding optimal management. Conventional treatment by cesarean-hysterectomy is challenging, with a high maternal morbidity due to massive hemorrhage, and surgical complications such as urinary tract, bowel and pelvic nerve injury, in addition to loss of fertility and its accompanying psychological trauma. Innovative approaches seek to preserve the uterus with the adherent placenta in situ, thus maintaining fertility and potentially reducing hemorrhage and adjacent organ injury. This review reports strategies for conservative treatment of such conditions, based on the current literature.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:34 |
|---|---|
| Enthalten in: |
Journal of investigative surgery : the official journal of the Academy of Surgical Research - 34(2021), 2 vom: 03. Feb., Seite 172-180 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Sichitiu, Joanna [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Accreta |
|---|
| Anmerkungen: |
Date Completed 18.08.2021 Date Revised 18.08.2021 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1080/08941939.2019.1623956 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM300393105 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM300393105 | ||
| 003 | DE-627 | ||
| 005 | 20231225102429.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1080/08941939.2019.1623956 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1001.xml |
| 035 | |a (DE-627)NLM300393105 | ||
| 035 | |a (NLM)31429327 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Sichitiu, Joanna |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Conservative Surgical Management of Placenta Accreta Spectrum |b A Pragmatic Approach |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 18.08.2021 | ||
| 500 | |a Date Revised 18.08.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a In the last 30 years, with increasing cesarean section rates, the incidence of the placenta accreta spectrum has also increased. It is estimated that by the year 2020 there will be nearly 9000 cases annually in the United States. Currently, no consensus exists regarding optimal management. Conventional treatment by cesarean-hysterectomy is challenging, with a high maternal morbidity due to massive hemorrhage, and surgical complications such as urinary tract, bowel and pelvic nerve injury, in addition to loss of fertility and its accompanying psychological trauma. Innovative approaches seek to preserve the uterus with the adherent placenta in situ, thus maintaining fertility and potentially reducing hemorrhage and adjacent organ injury. This review reports strategies for conservative treatment of such conditions, based on the current literature | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a accreta | |
| 650 | 4 | |a conservative management | |
| 650 | 4 | |a creta | |
| 650 | 4 | |a increta | |
| 650 | 4 | |a invasive placenta | |
| 650 | 4 | |a percreta | |
| 650 | 4 | |a placenta accreta spectrum | |
| 650 | 4 | |a uterine preservation | |
| 700 | 1 | |a El-Tani, Zeina |e verfasserin |4 aut | |
| 700 | 1 | |a Mathevet, Patrice |e verfasserin |4 aut | |
| 700 | 1 | |a Desseauve, David |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of investigative surgery : the official journal of the Academy of Surgical Research |d 1995 |g 34(2021), 2 vom: 03. Feb., Seite 172-180 |w (DE-627)NLM012966584 |x 1521-0553 |7 nnns |
| 773 | 1 | 8 | |g volume:34 |g year:2021 |g number:2 |g day:03 |g month:02 |g pages:172-180 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1080/08941939.2019.1623956 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 34 |j 2021 |e 2 |b 03 |c 02 |h 172-180 | ||