New surgical technique for managing placenta accreta spectrum and pilot study of the "CMNT PAS" study.

ABSTRACT:

Introduction

The gold standard for treating the placenta accreta spectrum (PAS) is a cesarean hysterectomy, which harms fertility. Another conservative surgical approach allows the uterus to be preserved: one-step conservative surgery. We will compare these two approaches through the "CMNT PAS" study. Before this main study, we conducted a pilot study to determine the required sample size.

Study design

This pilot study, conducted over 31 months, included patients who underwent surgery for suspected PAS based on imaging findings. Participants were divided into the conservative surgery group (CSG: 6 patients) and the Caesarean Hysterectomy Group (control group [CG]: 6 patients). For the CSG, our team adapted the approach described in previous research by Palacios-Jaraquemada.<

SUBMITTER: Abouda HS 

PROVIDER: S-EPMC11745804 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature