Evidence map›Paper›PMID 42534946›Full record

ArticleObstetrics and gynecology international2026

A Novel Uterus-Sparing Technique for Placenta Accreta Spectrum (PAS), at a Tertiary Center.

Samir Ghourab, Nada Alsahan, Osama Alomar, Reem Labani

Abstract read
In one paragraph

Article in Obstetrics and gynecology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Samir GhourabKing Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia, kfshrc.edu.sa.ORCID https://orcid.org/0009-0002-4790-1271
Nada AlsahanKing Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia, kfshrc.edu.sa.
Osama AlomarKing Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia, kfshrc.edu.sa.
Reem LabaniKing Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia, kfshrc.edu.sa.ORCID https://orcid.org/0009-0007-3992-7494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To present and evaluate the outcomes of a novel targeted devascularization technique for managing a placenta accreta spectrum (PAS). Design: Prospective observational study. Setting: The main tertiary care center in Saudi Arabia. Population: Sixty-seven referred pregnant women with a previous cesarean section scar, placenta previa, and sonographic diagnosis of PAS. Methods: Patients with PAS underwent targeted devascularization of the lateral sides of the uterus between cervix, and round ligament insertion at the time of caesarean delivery. Primary outcomes included uterine preservation rate and maternal morbidity. Secondary outcomes were transfusion requirements, surgical time, maternal and neonatal outcomes, estimated blood loss, transfusion rate, and bladder injury. Results: Among 67 patients, conservative surgery was successful in 95.5%, with a mean blood loss of 1.57 ± 0.81 L and 82.1% requiring blood transfusion. Bladder injury occurred in 22.4% and was managed intraoperatively. Surgical performance improved over time with reduced transfusion requirements ( Conclusions: Targeted devascularization of the lateral side of the uterus is a safe and effective uterus-sparing approach for PAS, associated with low morbidity and improved operative efficiency over time.

Identifiers

PMID42534946
PMCPMC13422645

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Registered trials

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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.