{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:26:38Z","timestamp":1787851598521,"version":"build-2784847793"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T00:00:00Z","timestamp":1593388800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003579","name":"University of Toronto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003579","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare surgical outcomes between women undergoing prophylactic internal iliac artery ligation or preoperative placement of balloon\u2010occlusive devices at cesarean hysterectomy for placenta accreta spectrum (PAS) disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted at a tertiary\u2010care referral center for PAS disorders in Ontario, Canada. Eligible electronic records were reviewed of women undergoing cesarean hysterectomy for PAS disorders between November 2012 and June 2018. Outcomes for the ligation and balloon groups were compared primarily on procedure\u2010related complications and secondarily on total procedure time, bleeding and transfusion metrics, and intraoperative and postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 79 cases of cesarean hysterectomy, 47 underwent balloon placement and 32 underwent ligation. Baseline characteristics between the groups were similar except for more emergency procedures in the ligation group (37.5% vs 12.8%, <jats:italic>P<\/jats:italic>=0.014). The balloon\u2010related complication rate was 5\/47 (10.6%), with no reported complications in the ligation group (<jats:italic>P<\/jats:italic>=0.077). Procedural time was longer in the balloon group (353\u00a0\u00b1\u00a014 vs 227\u00a0\u00b1\u00a013\u00a0minutes, <jats:italic>P<\/jats:italic>&lt;0.001). Estimated blood loss was similar (1874\u00a0\u00b1\u00a0245\u00a0mL vs 1713\u00a0\u00b1\u00a0181\u00a0mL, <jats:italic>P<\/jats:italic>=0.590).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women undergoing prophylactic placement of endovascular balloons at caesarean hysterectomy for PAS disorders had a 10.6% procedure\u2010related complication rate and increased total procedure time, with no decrease in blood loss compared to those undergoing surgical ligation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13256","type":"journal-article","created":{"date-parts":[[2020,6,7]],"date-time":"2020-06-07T13:10:52Z","timestamp":1591535452000},"page":"91-96","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Prophylactic internal iliac artery ligation versus balloon occlusion for placenta accreta spectrum disorders: A retrospective cohort study"],"prefix":"10.1002","volume":"151","author":[{"given":"Jessica","family":"Papillon\u2010Smith","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mount Sinai Hospital University of Toronto Toronto ON Canada"},{"name":"Department of Obstetrics and Gynaecology McGill University Health Centre McGill University Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Hobson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mount Sinai Hospital University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Allen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mount Sinai Hospital University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Kingdom","sequence":"additional","affiliation":[{"name":"Department 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