{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T10:49:28Z","timestamp":1764240568881,"version":"3.33.0"},"reference-count":27,"publisher":"Knowledge E DMCC","issue":"9","content-domain":{"domain":["knepublishing.com"],"crossmark-restriction":true},"short-container-title":["IJRM"],"abstract":"<jats:p>Background: Placenta accreta spectrum (PAS) is a major cause of obstetric bleeding in third trimester of pregnancy.\r\nObjective: This study aimed to compare the outcomes of uterine preservation surgery vs. hysterectomy in women with PAS.\r\n Materials and Methods: In this retrospective cross-sectional study, the records of 68 women with PAS referred to the Imam Khomeini hospital in Ahvaz, Iran, between March 2015 and February 2020 were included. The women were divided into 2 groups according to surgical approach: hysterectomy vs. uterine preservation (including just removing the lower segment, removing the lower segment with uterine artery ligation, or removing the lower segment with hypogastric artery ligation during cesarean section). The need for blood components transfusion (whole blood, packed cells, and fresh frozen plasma), maternal mortality, duration of surgery, and length of hospitalization were compared between groups.\r\nResults: In total, we investigated 68 women between the ages of 24-45 yr (mean age of 32.88 \u00b1 5.08 yr). All participants were multiparous and underwent cesarean section. Furthermore, 28 women (41.2%) had a history of curettage. In total, 24 women (35.3%) underwent a hysterectomy, and 44 (64.7%) underwent uterine preservative surgeries. There were no significant differences between groups of hysterectomy and uterinepreservative surgeries in terms of the need for blood components transfusion, maternal mortality, duration of surgery, and length of hospitalization.\r\nConclusion: The results of this study showed no significant difference between groups regarding the studied outcomes. Therefore, conservative surgeries could be used to preserve the uterus instead of hysterectomy in women with PAS.\r\nKey words: Placenta accreta, Placenta diseases, Pregnancy complications,Conservative treatment, Hysterectomy.<\/jats:p>","DOI":"10.18502\/ijrm.v20i9.12063","type":"journal-article","created":{"date-parts":[[2022,10,16]],"date-time":"2022-10-16T06:13:46Z","timestamp":1665900826000},"page":"739-744","update-policy":"https:\/\/doi.org\/10.18502\/knecrossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of uterine preservation versus hysterectomy in women with placenta accreta: A cross-sectional study"],"prefix":"10.18502","volume":"20","author":[{"given":"Razieh","family":"Mohammad Jafari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahin","family":"Najafian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mojgan","family":"Barati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najmieh","family":"Saadati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zorvan","family":"Jalili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atefeh","family":"Poolad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7770","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"245693","doi-asserted-by":"crossref","unstructured":"Cali G, Labate F, Cucinella G, Fabio M, Buca D, Di Girolamo R, et al. Placenta accreta spectrum disorders in twin pregnancies as an under reported clinical entity: A case series and systematic review. J Matern Fetal Neonatal Med 2022; 13: 1\u20134.","DOI":"10.1080\/14767058.2021.2005568"},{"key":"245694","doi-asserted-by":"crossref","unstructured":"Conturie CL, Lyell DJ. Prenatal diagnosis of placenta accreta spectrum. Curr Opin Obstet Gynecol 2022; 34: 90\u201399.","DOI":"10.1097\/GCO.0000000000000773"},{"key":"245695","doi-asserted-by":"crossref","unstructured":"Cnota W, Banas E, Dziechcinska-Poletek D, Janowska E, Jagielska A, Piela B, et al. \u201cThe Killer Placenta\u201d-a threat to the lives of young women giving birth by cesarean section. Ginekol Pol 2022; 93: 314\u2013320.","DOI":"10.5603\/GP.a2021.0235"},{"key":"245696","doi-asserted-by":"crossref","unstructured":"Eren EC, Bas\u0131m P. Role of peripheral inflammatory biomarkers, transforming growth factor-beta and interleukin 6 in predicting peritoneal adhesions following repeat cesarean delivery. Ir J Med Sci 2022: 1\u20138. (in Press)","DOI":"10.1007\/s11845-021-02878-8"},{"key":"245697","doi-asserted-by":"crossref","unstructured":"Matsuzaki S, Ueda Y, Nagase Y, Matsuzaki S, Kakuda M, Kakuda S, et al. Placenta accreta spectrum disorder complicated with endometriosis: Systematic review and meta-analysis. Biomedicines 2022; 10: 390.","DOI":"10.3390\/biomedicines10020390"},{"key":"245698","doi-asserted-by":"crossref","unstructured":"Jolley JA, Nageotte MP, Wing DA, Shrivastava VK. Management of placenta accreta: A survey of maternal-fetal medicine practitioners. J Maternal Fetal neonatal Med 2012; 25: 756\u2013760.","DOI":"10.3109\/14767058.2011.594467"},{"key":"245699","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists; Society for Maternal-Fetal Medicine Collaborators. 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Ceylon Med J 2012; 57: 36\u201339.","DOI":"10.4038\/cmj.v57i1.4199"},{"key":"245703","doi-asserted-by":"crossref","unstructured":"Sentilhes L, Goffinet F, Kayem G. Management of placenta accreta. Acta Obstet Gynecol Scand 2013; 92: 1125\u20131134.","DOI":"10.1111\/aogs.12222"},{"key":"245704","doi-asserted-by":"crossref","unstructured":"Reale SC, Farber MK. Management of patients with suspected placenta accreta spectrum. BJA Educ 2022; 22: 43\u201351.","DOI":"10.1016\/j.bjae.2021.10.002"},{"key":"245705","doi-asserted-by":"crossref","unstructured":"Li N, Yang T, Liu C, Qiao C. Feasibility of infrarenal abdominal aorta balloon occlusion in pernicious placenta previa coexisting with placenta accrete. Biomed Res Int 2018; 2018: 4596189.","DOI":"10.1155\/2018\/4596189"},{"key":"245706","doi-asserted-by":"crossref","unstructured":"Kollmann M, Gaulhofer J, Lang U, Klaritsch P. Placenta praevia: Incidence, risk factors and outcome. 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