SynthesisArchives of gynecology and obstetrics2011
Invasive placentation and uterus preserving treatment modalities: a systematic review.
Synthesis in Archives of gynecology and obstetrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Classification and reporting guidelines for the pathology diagnosis of placenta accreta spectrum (PAS) disorders: recommendations from an expert panel.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2020Guideline
- Conservative management of placenta accreta spectrum disorders: a retrospective cohort study.BMC pregnancy and childbirth · 2026Article
- Prophylactic occlusion balloon in placenta abnormalities: What every interventional radiologist needs to know.World journal of radiology · 2025Review
- Risk of Subsequent Hysterectomy after Expectant Management in the Treatment of Placenta Accreta Spectrum Disorders.Medicina (Kaunas, Lithuania) · 2022Review
- A Literature Review of Placenta Accreta Spectrum Disorder: The Place of Expectant Management in Ethiopian Setup.Ethiopian journal of health sciences · 2020Review
- Article
- A Case of Placenta Percreta Managed with Sequential Embolisation Procedures.Case reports in obstetrics and gynecology · 2018Article
- Multidisciplinary approach to manage antenatally suspected placenta percreta: updated algorithm and patient outcomes.Gynecologic oncology research and practice · 2017Article
- Urological Manifestations of Placenta Percreta.Current urology · 2015Review
- Ki-67 proliferation index in patients with placenta previa percreta in the third trimester.Wiener klinische Wochenschrift · 2015Article
- Emergency peripartum hysterectomy: a 13-year review at a tertiary center in kuwait.Journal of obstetrics and gynaecology of India · 2014Article
- Interstitial pregnancy resulting in a viable infant coexistent with massive perivillous fibrin deposition: a case report and literature review.AJP reports · 2014Article
- Contemporary issues in the management of abnormal placentation during pregnancy in developing nations: An Indian perspective.International journal of critical illness and injury science · 2013Review
- Conservative multidisciplinary management of placenta percreta following in vitro fertilization.Obstetrics & gynecology science · 2013Article
- Uterine Rupture with Massive Late Postpartum Hemorrhage due to Placenta Percreta Left Partially In Situ.Case reports in obstetrics and gynecology · 2013Article
- Bilateral Renal Cortical Necrosis with Chronic Renal Failure as a Result of Placenta Percreta in a Twin Pregnancy - A Case Report.Geburtshilfe und Frauenheilkunde · 2012Article
- The sonographic appearance and obstetric management of placenta accreta.International journal of women's health · 2012Article
- Placenta increta in an unscarred and bicornute uterus.Pakistan journal of medical sciencesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe present a systematic review to evaluate failure rates (secondary hysterectomy or maternal mortality) and success rates (subsequent menstruation or pregnancy) after different uterus preserving treatment modalities in women with invasive placentation.
methodsA review of English, German or Dutch language-published research, using Medline and Embase databases, was performed. Studies of any design were included.
resultsTen cohort studies and 50 case series or case reports were included. Expectant management reported a secondary hysterectomy in 55/287 (19%), maternal mortality in 1/295 (0.3%), a subsequent menstruation in 44/49 (90%) and a subsequent pregnancy in 24/36 (67%). Embolization of the uterine arteries described a secondary hysterectomy in 8/45 (18%), a subsequent menstruation in 8/13 (62%) and a subsequent pregnancy in 5/33 (15%). Methotrexate therapy presented a secondary hysterectomy in 1/16 (6%), a subsequent menstruation in 4/5 (80%) and a subsequent pregnancy in 1/2 (50%). Uterus preserving surgery showed a secondary hysterectomy in 24/77 (31%), maternal mortality in 2/55 (4%), a subsequent menstruation in 28/34 (82%) and a subsequent pregnancy in 19/26 (73%).
conclusionsThis review indicates that different uterus preserving treatment modalities may be effective in managing invasive placentation. Despite the extensive review of the literature, no conclusions about the superiority of any modality can be drawn.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.