Leaving Placenta In Situ for Management of Placenta Accreta Spectrum Disorder

The majority of patients with PAS who were managed by leaving the placenta in situ did not experience complications of infection or bleeding necessitating hysterectomy. Leaving placenta in situ may be appropriate to offer as an alternative to cesarean hysterectomy in those desiring uterine preservation or those who have PAS with concern for life-threatening bleeding if cesarean hysterectomy is performed. These results should be interpreted with caution given the small sample size, which could preclude detection of rare but potentially serious complications.

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Publication Details

Journal
Obstetrics and Gynecology
Published
2025-04-24
DOI
https://doi.org/10.1097/aog.0000000000005926
Citations
6
Primary Topic
Maternal and fetal healthcare
Type
article
Field-Weighted Citation Impact
20.96
Controls
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article

Leaving Placenta In Situ for Management of Placenta Accreta Spectrum Disorder

Ramesha Papanna, Abigail Zamorano, Eleazar Soto‐Torres, Elias Kassir et al.
6 citations
Obstetrics and Gynecology
Maternal and fetal healthcare
20.96
article

Leaving Placenta In Situ for Management of Placenta Accreta Spectrum Disorder

Ramesha Papanna, Abigail Zamorano, Eleazar Soto‐Torres, Elias Kassir, Han Chen, Baha M. Sibai, Edgar Hernández‐Andrade, Sarah T. Mehl, Farah H. Amro, Sean C. Blackwell, Rosa Guerra
article en
6 citations

Abstract

The majority of patients with PAS who were managed by leaving the placenta in situ did not experience complications of infection or bleeding necessitating hysterectomy. Leaving placenta in situ may be appropriate to offer as an alternative to cesarean hysterectomy in those desiring uterine preservation or those who have PAS with concern for life-threatening bleeding if cesarean hysterectomy is performed. These results should be interpreted with caution given the small sample size, which could preclude detection of rare but potentially serious complications.

Obstetrics and GynecologyVol. 145(6)
Twitter (United States) (US), Wested (US), National Confidential Enquiry into Patient Outcome and Death (GB), The University of Texas Health Science Center (US)
Good health and well-being
Openalex Percentile: Top 1%
Maternal and fetal healthcare
20.96
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