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A 38\u2010year\u2010old woman, conceived by in vitro fertilization (IVF), was not diagnosed of placenta accreta spectrum until delivery. A cesarean section was performed for fetal breech presentation. The placenta could not be detached from the uterine fundus and marked bleeding started. We conducted the \u201c<jats:bold>TURIP\u201d<\/jats:bold> procedure: ensured hemostasis with <jats:bold>t<\/jats:bold>ourniquet of uterine isthmus, <jats:bold>u<\/jats:bold>te<jats:bold>r<\/jats:bold>us <jats:bold>i<\/jats:bold>nversion to expose the adhesion site with intra\u2010venous nitroglycerin administration, <jats:bold>p<\/jats:bold>lacental detachment by sharp dissection under direct visualization. The detached areas were sutured for hemostasis. The patient recovered uneventfully and achieved the second pregnancy by IVF 1\u2009year later. The TURIP procedure is useful to preserve fertility in unpredicted placenta accreta spectrum without previa, even in undiagnosed cases before delivery.<\/jats:p>","DOI":"10.1111\/jog.15701","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T05:26:37Z","timestamp":1685510797000},"page":"2188-2193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Surgical technique for fertility preservation for placenta accreta spectrum without previa: Tourniquet, uterus inversion and placental dissection procedure"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5270-5182","authenticated-orcid":false,"given":"Masafumi","family":"Nii","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Mie University School of Medicine  Tsu 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