{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:12:13Z","timestamp":1790845933102,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,1,3]],"date-time":"2018-01-03T00:00:00Z","timestamp":1514937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Maternal outcomes after conservative management of placenta percreta are poorly understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the success and complication rates of conservative management of placenta percreta.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>The PubMed, <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>, and Scopus databases were searched for English\u2010language articles published between January 1990 and December 2016, using combinations of search terms related to conservative management of placenta percreta.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Only studies describing conservative treatment for placenta percreta (without placental removal) were included in the systematic review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>There were 44 studies included and maternal outcomes were reviewed and categorized among 72 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>The uterus was preserved among 42 (58%) patients and severe complications developed among 40 (56%). Prophylactic uterine artery embolization (<jats:styled-content style=\"fixed-case\">UAE<\/jats:styled-content>) did not improve success rates (<jats:italic>P<\/jats:italic>=0.807); however, the mean time for complete placental resorption was lower in the <jats:styled-content style=\"fixed-case\">UAE<\/jats:styled-content> group than in the non\u2010<jats:styled-content style=\"fixed-case\">UAE<\/jats:styled-content> group (22.4\u00a0weeks vs 35.3\u00a0weeks; <jats:italic>P<\/jats:italic>=0.014). Hysterectomy was performed at a mean of 44.6\u00a0days after cesarean delivery. Among the 23 patients with hysterectomy\u2010related complications, 18 (78%) experienced bladder injury, intraoperative bleeding (&gt;2000\u00a0<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>), or both. The use of chemotherapy did not improve success rates (<jats:italic>P<\/jats:italic>=0.064).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present systematic review revealed high maternal morbidity during conservative management of placenta percreta.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12411","type":"journal-article","created":{"date-parts":[[2017,11,30]],"date-time":"2017-11-30T14:56:44Z","timestamp":1512053804000},"page":"299-306","source":"Crossref","is-referenced-by-count":65,"title":["Conservative management of placenta percreta"],"prefix":"10.1002","volume":"140","author":[{"given":"Shinya","family":"Matsuzaki","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Osaka University Graduate School of Medicine  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Yoshino","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Osaka University Graduate School of Medicine  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Osaka University Graduate School of Medicine  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aiko","family":"Kakigano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Osaka University Graduate School of Medicine  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Takiuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Osaka University Graduate School of Medicine  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadashi","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Osaka University Graduate School of Medicine  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2011.12.005"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.108"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12295"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.04.034"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181d066d4"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12149"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2535"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2017.04.016"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12074"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.4038\/cmj.v57i1.4199"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-012-2573-4"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000447556"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13121"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12411","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12411","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T02:12:15Z","timestamp":1695694335000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12411"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,3]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1002\/ijgo.12411"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12411","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,3]]}}}