{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T03:20:04Z","timestamp":1783999204835,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T00:00:00Z","timestamp":1687910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To report the results of prophylactic use of intraoperative temporary internal iliac arterial occlusion by Bulldog clamps in patients clinically diagnosed with abnormally invasive placenta.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included 61 patients diagnosed with FIGO grade 3 abnormally invasive placenta between January 2018 and March 2022. After transfundal incision and fetal delivery, bilateral temporary internal iliac arterial occlusion by Bulldog clamps was performed in all patients. The grades 3b and 3c group underwent cesarean hysterectomy whereas selected cases of grade 3a abnormally invasive placenta underwent fertility\u2010preserving procedures. Preoperative and postoperative findings were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Cesarean hysterectomy was performed in 50 (82%) patients and cesarean plus conservative procedures were performed in 11 (18%) patients. Intraoperative blood replacement was not performed in 83.6% of all patients. Mean blood loss was 1.37\u2009\u00b1\u20090.53\u2009L (range 0.5\u20132.5) in all patients. Estimated blood loss was significantly higher in cesarean hysterectomy group. There was no statistically significant difference between two groups in terms of peroperative blood replacement, bladder, and ureteral injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Prophylactic bilateral temporary internal iliac arterial occlusion by Bulldog clamps should be performed in cases of grade 3 abnormally invasive placenta. Fertility\u2010preserving steps may be undertaken safely in selected cases with this approach.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14968","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T11:34:11Z","timestamp":1687952051000},"page":"99-107","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Intraoperative temporary internal iliac arterial occlusion (Polat's technique) for severe placenta accreta spectrum: A\u00a0description of the technique and outcomes in 61 patients"],"prefix":"10.1002","volume":"164","author":[{"given":"Mine","family":"Daggez","sequence":"first","affiliation":[{"name":"Department of Gynecologic Oncology University of Health Sciences Tekirdag City Hospital  Tekirdag Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tufan","family":"Aslanca","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology University of Health Sciences Ankara City Hospital  Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Polat","family":"Dursun","sequence":"additional","affiliation":[{"name":"Private Gynecologic Oncology Clinic  Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000884"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.11.018"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1709324"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)34741-X"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12761"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12409"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12410"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14422"},{"issue":"402","key":"e_1_2_11_10_1","first-page":"e1","article-title":"Case\u2010control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta","volume":"197","author":"Shrivastava V","year":"2007","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.08.053"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12302"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12409"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc\u20132022\u2013003830"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11596\u2013022\u20132584\u20136"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1656194"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330\u2013017\u20135222\u20130"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14103"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14075"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.18502\/jfrh.v15i4.7888"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.04.233"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330\u2013022\u201308821\u20134"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.20246"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.03.014"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12768"}],"container-title":["International Journal of Gynecology &amp; 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