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Kasr Alainy simplified conservative uterine surgery for abnormally invasive placenta (AIP): surgical technique
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  • abdalla Mousa,
  • Ahmed Maged,
  • Islam Elkhateb,
  • Hassan Gaafar,
  • Tommy Mousa,
  • Mohamed Abdel-Fattah,
  • Ahmed Mourad,
  • Moutaz Elsherbini,
  • Rasha Elkomy
abdalla Mousa
Cairo University Kasr Alainy Faculty of Medicine
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Ahmed Maged
Cairo University Kasr Alainy Faculty of Medicine
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Islam Elkhateb
Newgiza University
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Hassan Gaafar
Cairo University Kasr Alainy Faculty of Medicine
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Tommy Mousa
University Hospitals of Leicester NHS Trust
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Mohamed Abdel-Fattah
University of Aberdeen Dugald Baird Centre for Research on Women's Health
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Ahmed Mourad
Cairo University Kasr Alainy Faculty of Medicine
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Moutaz Elsherbini
Cairo University Kasr Alainy Faculty of Medicine
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Rasha Elkomy
Cairo University Kasr Alainy Faculty of Medicine
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Abstract

The incidence of placenta accreta has risen significantly owing to global surge in caesarian section rates. It is associated with significant morbidities and mortality and is usually managed with caesarean hysterectomy (CsH). Uterine preserving conservative surgeries have advantages over CsH and leaving placenta in-situ techniques. We present a new conservative surgery technique that was applied on 20 patients with abnormally invasive placenta. It was successful in 90% of cases for preservation of the uterus. It was associated with relatively low blood loss and morbidity outcomes. Our simplified easy to learn technique can be useful especially for countries with limited resources.