FIGO classification for the clinical diagnosis of placenta accreta spectrum disorders
Eric Jauniaux,Diogo Ayres-de-Campos,Jens Langhoff-Roos,Karin A. Fox,Sally Collins,Sally Collins +5 more
TLDR
Adherence to this new International Federation of Gynecology and Obstetrics (FIGO) classification should improve future systematic reviews and meta‐analyses and provide more accurate epidemiologic data which are essential to develop new management strategies.About:
This article is published in International Journal of Gynecology & Obstetrics.The article was published on 2019-07-01 and is currently open access. It has received 265 citations till now. The article focuses on the topics: Placenta accreta.read more
Citations
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Obstetricia FIGO consensus guidelines on placenta accreta spectrum disorders: nonconservative surgical management
TL;DR: Hysterectomy remains the definitive surgical treatment for PAS disorders, especially for its invasive forms, and a primary elective cesarean hystereCTomy is the safest and most practical option for most low- and middle- income countries where diagnostic, follow- up, and additional treatments are not available.
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Classification and reporting guidelines for the pathology diagnosis of placenta accreta spectrum (PAS) disorders: recommendations from an expert panel.
Jonathan L. Hecht,Rebecca N. Baergen,Linda M Ernst,Linda M Ernst,Philip J. Katzman,Suzanne M. Jacques,Eric Jauniaux,T. Yee Khong,Leon A. Metlay,Liina Poder,Faisal Qureshi,Joseph T. Rabban,Drucilla J. Roberts,Scott A. Shainker,Debra S. Heller +14 more
TL;DR: The proposed nomenclature under the umbrella diagnosis of placenta Accreta accreta spectrum (PAS) replaces the traditional categorical terminology with a descriptive grading system that parallels the guidelines endorsed by the International Federation of Gynaecology and Obstetrics (FIGO).
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Placenta accreta spectrum: a hysterectomy can be prevented in almost 80% of cases using a resective-reconstructive technique.
TL;DR: The entire placenta and the invaded area are removed in block, to guarantee to perform the uterine repair with healthy tissue and to avoid a recurrence in the subsequent cesarean.
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Minimizing surgical blood loss at cesarean hysterectomy for placenta previa with evidence of placenta increta or placenta percreta: the state of play in 2020.
John Kingdom,Sebastian R. Hobson,Ally Murji,Lisa Allen,Rory Windrim,Evelyn Lockhart,Sally Collins,Hooman Soleymani Majd,M Alazzam,Feras Naaisa,Alireza A. Shamshirsaz,Michael A. Belfort,Karin A. Fox +12 more
TL;DR: This review reviews literature developments in the context of safely performing elective cesarean hysterectomy for placenta previa-percreta, the most severe PAS disorder.
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Placenta Accreta Spectrum Disorder: Uterine Dehiscence, Not Placental Invasion.
Brett D. Einerson,Jessica M. Comstock,Robert M. Silver,D. Ware Branch,Paula J. Woodward,Anne Kennedy +5 more
TL;DR: It is argued that placenta accreta spectrum exists as a Disorder of defective decidua and uterine scar dehiscence, not as a disorder of destructive trophoblast invasion.
References
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Abnormal placentation: twenty-year analysis.
TL;DR: The most important risk factors for placenta accreta were previous cesarean delivery, previa, and advanced maternal age as mentioned in this paper, which increased the rate of abnormal placentation in conjunction with CESarean deliveries.
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Placenta accreta spectrum: pathophysiology and evidence-based anatomy for prenatal ultrasound imaging.
TL;DR: Correlation of pathological and clinical findings with prenatal imaging is essential to improve screening, diagnosis, and management of placenta accreta spectrum, and standardized protocols need to be developed.
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Placenta accreta--summary of 10 years: a survey of 310 cases.
TL;DR: Repeated cesarean delivery, high parity, and anteriorly low placental location are associated with severe outcome in case of placenta accreta and a genetic factor may serve as a cause for this condition.
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Placenta accreta: Pathogenesis of a 20th century iatrogenic uterine disease
Eric Jauniaux,Davor Jurkovic +1 more
TL;DR: Overall these data support the concept that abnormal decidualization and trophoblastic changes of the placental bed in placenta accreta are secondary to the uterine scar and thus entirely iatrogenic.