{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T20:36:40Z","timestamp":1773866200081,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,12,17]],"date-time":"2016-12-17T00:00:00Z","timestamp":1481932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to investigate maternal and neonatal outcomes of conservative management of post\u2010partum hemorrhage due to placenta previa\u2013accreta using hypogastric artery ligation and endo\u2010uterine hemostatic suture to lower uterine segment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The records of 38 patients who were managed conservatively with hypogastric artery ligation and endo\u2010uterine hemostatic suture to control post\u2010partum hemorrhage secondary to placenta previa\u2013accreta between April 2014 and January 2016, were reviewed retrospectively. Placenta previa\u2013accreta was diagnosed according to gray\u2010scale, color and 3\u2010D power Doppler ultrasonography in addition to the intraoperative findings based on fragmentary or difficult separation of the placenta. In the case of conservative treatment protocol failure, cesarean hysterectomy was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of these patients, 55.2% were between 25 and 35 years old; 97.5% were multiparous; 71.2% had two or more previous cesarean section and 68.5% had preterm delivery. Women with placenta accreta had a median estimated blood loss of 450 mL; 57.8% of patients had blood transfusion (mean intraoperative transfusion, 2 units packed red blood cells; range, 0\u20139 units). Median duration of operation was 112.5 min (range, 45\u2013305 min) and 32 patients (84.3%) with placenta accreta did not undergo cesarean hysterectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Conservative treatment of post\u2010partum hemorrhage secondary to placenta previa\u2013accreta with hypogastric artery ligation and endo\u2010uterine hemostatic sutures to the lower segment of the uterus is associated with lower hysterectomy rate compared with the other conservative methods reported in the literature.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13215","type":"journal-article","created":{"date-parts":[[2016,12,17]],"date-time":"2016-12-17T17:42:26Z","timestamp":1481996546000},"page":"265-271","source":"Crossref","is-referenced-by-count":16,"title":["Conservative management of post\u2010partum hemorrhage secondary to placenta previa\u2013accreta with hypogastric artery ligation and endo\u2010uterine hemostatic suture"],"prefix":"10.1111","volume":"43","author":[{"given":"Melekoglu","family":"Rauf","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine, University of Inonu  Malatya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celik","family":"Ebru","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine, University of Inonu  Malatya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eraslan","family":"Sevil","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine, University of Inonu  Malatya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Buyukkurt","family":"Selim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine, University of Cukurova  Adana 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