“…significant hemorrhage in patients with placenta previa during the UAE-assisted CS (3,4,23,24), which is consistent with our findings (P = 0.001). Placental cervical protrusion sign was also regarded as a useful novel MRI finding for predicting placenta invasion by Ueno et al (16), which is a known risk factor for the poor outcome of patients with placenta previa after CS.…”
“…significant hemorrhage in patients with placenta previa during the UAE-assisted CS (3,4,23,24), which is consistent with our findings (P = 0.001). Placental cervical protrusion sign was also regarded as a useful novel MRI finding for predicting placenta invasion by Ueno et al (16), which is a known risk factor for the poor outcome of patients with placenta previa after CS.…”
“…38 Arterial embolisation is undoubtedly a useful tool, although evidence suggests that it is less likely to be successful in cases of abnormal placentation than in postpartum haemorrhage of other causes. 38 A more novel approach is the successful use of the argon beam coagulator to achieve haemostasis of the placental bed.…”
Placenta accreta is a rare complication of human placentation with fertility and life‐threatening sequelae. Traditional management has centred upon hysterectomy and its prompt undertaking has been well documented in saving lives. While in many situations hysterectomy will remain appropriate, there are other management options available involving conservative approaches. This article reviews the diagnosis and demographics of this potentially frightening pathology and highlights the important aspects of conservative management if hysterectomy is to be avoided.
“…1 Bilateral uterine artery embolisation, argon beam coagulation of the placental bed and Pelvic artery ligation (anterior division of internal iliac or uterine artery) have been mentioned with varying success. [14][15][16] If the placenta has been left in situ, the woman requires follow-up to ensure the resolution of placental tissue. This is done with a combination of clinical assessment, ultrasound examination and serum ß-hCG assay.…”
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