{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:03:02Z","timestamp":1785430982183,"version":"3.56.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":210,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obstetrics and Gynecology International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Objective<\/jats:title>\n To present and evaluate the outcomes of a novel targeted devascularization technique for managing a placenta accreta spectrum (PAS).<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Prospective observational study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n The main tertiary care center in Saudi Arabia.<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n Sixty\u2010seven referred pregnant women with a previous cesarean section scar, placenta previa, and sonographic diagnosis of PAS.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Patients with PAS underwent targeted devascularization of the lateral sides of the uterus between cervix, and round ligament insertion at the time of caesarean delivery. Primary outcomes included uterine preservation rate and maternal morbidity. Secondary outcomes were transfusion requirements, surgical time, maternal and neonatal outcomes, estimated blood loss, transfusion rate, and bladder injury.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among 67 patients, conservative surgery was successful in 95.5%, with a mean blood loss of 1.57\u2009\u00b1\u20090.81\u2009L and 82.1% requiring blood transfusion. Bladder injury occurred in 22.4% and was managed intraoperatively. Surgical performance improved over time with reduced transfusion requirements (\n p<\/jats:italic>\n \u2009=\u20090.004) and shorter operative times (\n p<\/jats:italic>\n = 0.002). No long\u2010term complications or a maternal death were recorded.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Targeted devascularization of the lateral side of the uterus is a safe and effective uterus\u2010sparing approach for PAS, associated with low morbidity and improved operative efficiency over time.<\/jats:p>\n <\/jats:sec>","DOI":"10.1155\/ogi\/1224673","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:16:05Z","timestamp":1785428165000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Novel Uterus\u2010Sparing Technique for Placenta Accreta Spectrum (PAS), at a Tertiary Center"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4790-1271","authenticated-orcid":false,"given":"Samir","family":"Ghourab","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nada","family":"Alsahan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama","family":"Alomar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3992-7494","authenticated-orcid":false,"given":"Reem","family":"Labani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15306"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2019.04.006"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14096"},{"key":"e_1_2_11_4_2","unstructured":"SelfA. CavallaroA. andCollinsS. L. Placenta Accreta Spectrum: Imaging and Diagnosis The Obstetrician & Gynecologist."},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-031193"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12405"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14103"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443619965480"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000003792"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.2147\/ijwh.s224191"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.1995.522"},{"key":"e_1_2_11_12_2","article-title":"Therapeutic Effect of Internal Iliac Artery Ligation and Uterine Artery Ligation Techniques for Bleeding Control in Placenta accreta Spectrum Patients: A Meta-Analysis of 795 Patients","volume":"17","author":"Nabhan A. E.","year":"2022","journal-title":"PLoS One"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.07.012"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.05.035"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0b013e3182051db2"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000002442"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.02.054"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.15406\/mojwh.2017.04.00079"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/1jgo.13887"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1716715"}],"container-title":["Obstetrics and Gynecology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/ogi\/1224673","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/ogi\/1224673","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/ogi\/1224673","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:16:07Z","timestamp":1785428167000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/ogi\/1224673"}},"subtitle":[],"editor":[{"given":"Hannah","family":"Wesley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/ogi\/1224673"],"URL":"https:\/\/doi.org\/10.1155\/ogi\/1224673","archive":["Portico"],"relation":{},"ISSN":["1687-9589","1687-9597"],"issn-type":[{"value":"1687-9589","type":"print"},{"value":"1687-9597","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1224673"}}