ArticleCureus2025
Surgical Management of Placenta Accreta Spectrum: A Five-Year Institutional Experience.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- The quintessential high-risk profile: advanced management strategies for placenta accreta spectrum in patients with advanced maternal age and IVF conception.BMC pregnancy and childbirth · 2026Review
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical management of placenta accreta spectrum (PAS), particularly in emergency settings, poses significant risks. Although PAS is being encountered more frequently, there is still limited institutional data available to guide management. This study was aimed at evaluating the surgical outcomes in a tertiary care institution over five years and contributing to the growing body of evidence that guides the surgical management of PAS.
methodsA retrospective review was conducted on 18 surgically managed PAS cases from April 2020 to March 2025. Demographics, intraoperative parameters, and maternal outcomes were analyzed. Comparative and regression analyses were performed.
resultsMean maternal age was 30.6 years. Mean estimated blood loss (EBL)was 1822 ml (range 600-3600 ml), and mean operating time was 85.3 minutes (range 40-170 minutes). Emergency surgery was significantly associated with higher blood loss (p = 0.0002). Regression analysis revealed that emergency surgery was associated with more significant blood loss (β = 1,918 ml, p = 0.001).
conclusionEarly antenatal diagnosis and planned surgeries are key to improving maternal outcomes. Multidisciplinary teams and preparedness are critical for optimal results. Our five-year institutional experience demonstrates that surgical management of PAS remains a high-risk intervention. Planned surgical approaches with antenatal diagnosis significantly improve outcomes by enabling resource readiness and effective team coordination. Emergency procedures, by contrast, are fraught with complications, further reinforcing the necessity for early risk identification and referral to equipped centers.
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Registered trials
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