Comments on: Conservative Surgical Treatment of a Case of Placenta Accreta - Revista Brasileira de Ginecologia e Obstetrícia

Letter to the Editor

Comments on: Conservative Surgical Treatment of a Case of Placenta Accreta

Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(10):654-655

DOI: 10.1055/s-0038-1675221

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Dear Editor,

Placenta accreta describes pathological adherence or invasion of the placenta to the myometrium. It may be a consequence of any procedure affecting the integrity of the uterine lining. The incidence is rising due to increase in the rate of cesarean delivery, which is the major risk factor. Published guidelines recommend delivery with planned cesarean hysterectomy and placenta left in situ, while application of conservative management must be individualized according to the patient’s desire for future fertility.

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