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Conservative Management of Placenta Percreta: Three Cases and a Review of the Literature Regarding Conservative Management of Placenta Accreta Spectrum (PAS) Disorders.

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dc.contributor.author Patabendige, M.
dc.contributor.author Sanjeewa, J. M. P.
dc.contributor.author Amarasekara, A. M. A. K. G.
dc.contributor.author Herath, R. P.
dc.date.accessioned 2020-05-20T08:52:57Z
dc.date.available 2020-05-20T08:52:57Z
dc.date.issued 2020
dc.identifier.citation Case Rep Obstet Gynecol. 2020;2020:9065342. doi: 10.1155/2020/9065342. eCollection 2020. en_US
dc.identifier.issn 2090-6692 (Electronic)
dc.identifier.issn 2090-6684 (Print)
dc.identifier.issn 2090-6692 (Linking)
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/21087
dc.description Indexed in MEDLINE. en_US
dc.description.abstract BACKGROUND: The incidence of placenta accreta spectrum (PAS) disorders has risen over the last decades, and there has been a gradual shift towards expectant management. Conservative management of PAS is known to reduce major obstetric haemorrhage and salvage hysterectomy. There is a lack of consensus on the follow-up of patients undergoing conservative approaches. Here, we describe the follow-up of three patients with placenta percreta who were conservatively managed and review the literature for the conservative management of PAS. Case Presentation. We have successfully managed three cases of placenta percreta expectantly using combined methods involving symphysial-fundal height, serum beta-HCG, and ultrasonographic volume of placental mass.CONCLUSIONS: Use of a combined approach with symphysial-fundal height, serum beta-HCG, and ultrasonographic volume of placental mass with colour Doppler may guide the surveillance of these conservatively managed cases. However, at least one magnetic resonance imaging three months postoperatively may predict a further risk of delayed haemorrhage. en_US
dc.language.iso en_US en_US
dc.publisher Case reports in obstetrics and gynecology. en_US
dc.subject placenta en_US
dc.title Conservative Management of Placenta Percreta: Three Cases and a Review of the Literature Regarding Conservative Management of Placenta Accreta Spectrum (PAS) Disorders. en_US
dc.type Article en_US


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