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Vascular Control by Infrarenal Aortic Cross-Clamping in Placenta Accreta Spectrum Disorders: description of technique and review of 31 cases
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  • Min-Min Chou,
  • Ming-Jer Chen,
  • Hsiu-Wei Su,
  • Hsiao-Fan Kung,
  • Jenn-Jhy Tseng,
  • Wei-Chih Chen ,
  • Ya-Fang Chen ,
  • Jia-Chun Yuan
Min-Min Chou
China Medical University Hospital
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Ming-Jer Chen
Taichung Veterans General Hospital
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Hsiu-Wei Su
Taichung Veterans General Hospital
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Hsiao-Fan Kung
Taichung Veterans General Hospital
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Jenn-Jhy Tseng
Taichung Veterans General Hospital
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Wei-Chih Chen
Taichung Veterans General Hospital
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Ya-Fang Chen
Taichung Veterans General Hospital
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Jia-Chun Yuan
China Medical University Hospital
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Abstract

We describe a novel surgical technique of 31 patients with histopathologically–confirmed placenta accreta spectrum (PAS) disorders managed by a multidisciplinary team using prophylactic infrarenal abdominal aortic cross-clamping technique during cesarean hysterectomy. We conclude that this new surgical procedure is a safe and effective technique to reduce operative blood loss. Hopefully, our pioneer work will stimulate others to develop protocols assessing this innovative technique to improve surgical outcome of PAS disorders.

Peer review status:UNDER REVIEW

09 Sep 2020Submitted to BJOG: An International Journal of Obstetrics and Gynaecology
11 Sep 2020Assigned to Editor
11 Sep 2020Submission Checks Completed
12 Sep 2020Reviewer(s) Assigned
26 Sep 2020Review(s) Completed, Editorial Evaluation Pending