Surgical management of placenta accreta: to leave or remove the placenta?

Authors

  • A Perez-Delboy,

    1. Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USA
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  • JD Wright

    Corresponding author
    1. Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USA
    • Correspondence: Dr JD Wright, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, 161 Fort Washington Ave, 8th Floor, New York, NY 10032, USA. Email jw2459@columbia.edu

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Abstract

Abnromalities of placentation, including placenta accreta, represent a major source of morbidity and mortality among women. Traditional management consists of peripartum hysterectomy at the time of delivery, although more conservative treatments have also been developed recently. In this review we describe the available literature describing the operative approach and considerations for management of women with placenta accreta.

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