Back to Search Start Over

[Uterine conservative treatment for placenta accreta : new standard?]

Authors :
Metaxas T
Garcia Vilaplana E
Peter-Berner C
Palacios-Jaraquemada JM
Nieto-Calvache AJ
Martinez De Tejada B
Pellegrinelli JM
Source :
Revue medicale suisse [Rev Med Suisse] 2024 Oct 16; Vol. 20 (891), pp. 1856-1861.
Publication Year :
2024

Abstract

Placenta accreta spectrum (PAS) is among the most dangerous obstetric conditions due to elevated risk of massive hemorrhage. Ultrasound is PAS's preferred screening method. This article -introduces the new topographic classification of PAS, allowing for treatment selection, whether radical or conservative. This classification enables considering the One-Step Conservative Surgery (OSCS), a technique that could potentially avoid up to 80% of cesarean -hysterectomies in cases of PAS. This article details the procedure and -eligibility criteria for the OSCS. This promising technique could significantly reduce maternal morbidity and mortality. Finally, the possibility of training in these techniques through telemedicine opens new avenues for conservative uterine treatment in the -context of PAS.<br />Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Details

Language :
French
ISSN :
1660-9379
Volume :
20
Issue :
891
Database :
MEDLINE
Journal :
Revue medicale suisse
Publication Type :
Academic Journal
Accession number :
39429172
Full Text :
https://doi.org/10.53738/REVMED.2024.20.891.1856