{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T03:19:32Z","timestamp":1752981572953},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Placenta accreta spectrum (PAS) disorder often causes a large amount of intraoperative bleeding in a short period which makes maternal circulation unstable and threatens life. As a countermeasure, two-stage surgery combined with selective uterine arterial embolization (UAE), named \u201cstepwise treatment\u201d was introduced in 2003. At a cesarean section (CS), only the baby is delivered and the placenta is left in situ. The transcatheter angiographic UAE is performed on the operation day, followed by the total hysterectomy on 5 to 7 days after CS. The difficulty in the operative procedures for hysterectomy and the amount of bleeding can be reduced by the added effect of the blood flow interruption by UAE and the uterine involution. Although there are not many indication cases, this is the prudent operation that should be considered for the most severe PAS case such as total placenta increta\/percreta with placenta previa.<\/jats:p><jats:p>In this article, the practical procedures and tips of stepwise treatment are described.<\/jats:p>","DOI":"10.1055\/s-0041-1728748","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T22:50:52Z","timestamp":1633042252000},"page":"S20-S27","source":"Crossref","is-referenced-by-count":2,"special_numbering":"S","title":["Stepwise Treatment for Abnormally Invasive Placenta with Placenta Previa"],"prefix":"10.1055","volume":"07","author":[{"given":"Seiji","family":"Sumigama","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, Japan"},{"name":"Department of International Medical Education, Nagoya University Graduate School of Medicine, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomomi","family":"Kotani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromi","family":"Hayakawa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Aichi Children's Health and Medical Center, Obu, Aichi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,30]]},"reference":[{"key":"ref1","first-page":"134","volume-title":"Stepwise treatment","author":"S Sumigama","year":"2012"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1111\/j.1447-0756.2007.00619.x","article-title":"Placenta previa increta\/percreta in Japan: a retrospective study of ultrasound findings, management and clinical course","volume":"33","author":"S Sumigama","year":"2007","journal-title":"J Obstet Gynaecol Res"},{"key":"ref3","first-page":"873","article-title":"Complications after uterine artery embolization for leiomyomas","volume":"100","author":"J B Spies","year":"2002","journal-title":"Obstet Gynecol"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/S0899-7071(01)00307-2","article-title":"Uterine artery embolization: the role in obstetrics and gynecology","volume":"25","author":"S Z Badawy","year":"2001","journal-title":"Clin Imaging"},{"issue":"12","key":"ref5","first-page":"727","article-title":"Angiographic embolization for emergent and prophylactic management of obstetric hemorrhage: a four-year experience","volume":"66","author":"Y Y Cheng","year":"2003","journal-title":"J Chin Med Assoc"},{"key":"ref6","first-page":"830","article-title":"Modified cesarean hysterectomy for placenta previa percreta with bladder invasion: retrovesical lower uterine segment bypass","volume":"93","author":"M A Pelosi III","year":"1999","journal-title":"Obstet Gynecol"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.ygyno.2011.04.029","article-title":"New classification system of radical hysterectomy: emphasis on a three-dimensional anatomic template for parametrial resection","volume":"122","author":"D Cibula","year":"2011","journal-title":"Gynecol Oncol"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1728748.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T00:04:48Z","timestamp":1641945888000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1728748"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,30]]},"references-count":7,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2022,1,11]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1728748","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"value":"2378-5128","type":"print"},{"value":"2378-5136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,30]]}}}