ReviewAmerican journal of obstetrics and gynecology2020
Minimizing surgical blood loss at cesarean hysterectomy for placenta previa with evidence of placenta increta or placenta percreta: the state of play in 2020.
Review in American journal of obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05922397 (Evaluation of Clinical Outcomes and Acceptability of an Anatomical Classification for Placenta Accreta Spectrum, a Multicentric Prospective Cohort Study), which is not on this map. Cited by 46 papers, 2 of them syntheses 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.
Evaluation of Clinical Outcomes and Acceptability of an Anatomical Classification for Placenta Accreta Spectrum, a Multicentric Prospective Cohort Study
Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 128 citations in OpenAlex.
- Prophylactic Intraoperative Uterine Artery Embolization During Cesarean Section or Cesarean Hysterectomy in Patients with Abnormal Placentation: A Systematic Review and Meta-Analysis.Cardiovascular and interventional radiology · 2022Pooled it
- A systematic review and meta-analysis of obstetric and maternal outcomes after prior uterine artery embolization.Scientific reports · 2021Pooled it
- Combined Efficacy of Balloon Occlusion and Uterine Artery Embolization on Coagulation Function in Patients with High-Risk Placenta Previa during Cesarean Section.International journal of clinical practice · 2022Trial
- Uterus-preserving surgery for placenta accreta spectrum: An expert, illustrated review of techniques and its outcomes.Acta obstetricia et gynecologica Scandinavica · 2026Review
- Proximal Internal Iliac Artery Ligation in Obstetrics and Gynecology: An 11-Year Retrospective Single-Center Experience with No Clinically Detected Ischemic Complications.Journal of clinical medicine · 2026Article
- Hysterectomy for placenta accreta spectrum disorder: Impact of institutional surgical volume on patient outcomes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Prediction of Placenta Accreta Spectrum Disorders in Complete Placenta Previa Complicated with Prior Cesarean.International journal of women's health · 2026Article
- Application of the Surgical APGAR Score to Predict Intensive Care Unit Admission and Post-Operative Outcomes in Cesarean Hysterectomy for Placenta Accreta Spectrum.Medicina (Kaunas, Lithuania) · 2025Article
- Prophylactic resuscitative endovascular balloon occlusion in the management of placenta percreta: a case report.AJOG global reports · 2025Article
- Preoperative cystoscopy as a risk stratification tool for massive hemorrhage in placenta accreta spectrum.BMC pregnancy and childbirth · 2025Article
- New surgical technique for managing placenta accreta spectrum and pilot study of the "CMNT PAS" study.AJOG global reports · 2025Article
- Up-front dissection of the uterovesical space or "bladder-first approach" reduces hemorrhage and bladder injury during hysterectomy for placenta accreta spectrum: reconfirmed in 78 more cases in a prospective single-center study.AJOG global reports · 2025Article
- Effectiveness of aortic balloon occlusion in reducing blood loss during cesarean section in placenta accreta spectrum disorders: a study protocol for a randomized controlled trial.Frontiers in medicine · 2025Article
- Doppler Parameters of Uterine Arteries in the Evaluation of Placenta Accreta in Patients with Placenta Previa.International journal of women's health · 2025Article
- Lessons learned from a case of placenta previa totalis complicated by placenta accreta spectrum: Importance of timely decision-making.International journal of surgery case reports · 2025Article
- Cesarean hysterectomy in pregnancies complicated with placenta previa accreta: a retrospective hospital-based study.BMC pregnancy and childbirth · 2024Article
- Rational Design of Nanomedicine for Placental Disorders: Birthing a New Era in Women's Reproductive Health.Small (Weinheim an der Bergstrasse, Germany) · 2024Review
- Article
- Article
- Customizing EV-CATCHER to Purify Placental Extracellular Vesicles from Maternal Plasma to Detect Placental Pathologies.International journal of molecular sciences · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 5 institutions in 3 countries.
Funding
Abstract
The evolution of multidisciplinary team-based care for women with placenta accreta spectrum disorder has delivered stepwise improvements in clinical outcomes. Central to this overall goal is the ability to limit blood loss at surgery. Placement of inflatable balloons within the pelvic arteries, most commonly in the anterior divisions of the internal iliac arteries, became popular in many centers, at the expense of prolonging surgical care and with attendant risks of vascular injury. In tandem, the need to expose pelvic sidewall anatomy to safely identify the course of the ureters re-popularized the alternative strategy of ligating the same anterior divisions of the internal iliac arteries. With incremental gains in surgical expertise, described in 5 steps in this review, our teams have witnessed a steady decline in surgical blood loss. Nevertheless, a subset of women has the most severe form of placenta accreta spectrum, namely placenta previa-percreta. Such women are at risk of major hemorrhage during surgery from vessels arising outside the territories of the internal iliac arteries. These additional blood supplies, mostly from the external iliac arteries, pose significant risks of major blood loss even in experienced hands. To address this risk, some centers, principally in China, have adopted an approach of routinely placing an infrarenal aortic balloon, with both impressively low rates of blood loss and an ability to conserve the uterus by resecting the placenta with the affected portion of the uterine wall. We review these literature developments in the context of safely performing elective cesarean hysterectomy for placenta previa-percreta, the most severe placenta accreta spectrum disorder.
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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.