Conservative surgical management of unexpected focal placenta accreta using an ultrasonic device: a case series.
Emma Bertucci, Nunzia Del Villano, Martina Benuzzi et al.
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Case in brief
Two women with pregnancies achieved through in vitro fertilization and oocyte donation presented with unexpected focal placenta accreta diagnosed during cesarean delivery. Both experienced massive hemorrhage that did not respond to standard measures. Surgical excision of the affected myometrial area was performed using HARMONIC FOCUS+ Long Shears, leading to full recovery and no retained products on postoperative ultrasound.
Diagnostic / clinical pearl
In cases of unexpected focal placenta accreta, the use of ultrasonic devices for surgical excision can provide effective bleeding control while preserving the uterus.
Why it matters
The rising incidence of placenta accreta spectrum necessitates awareness of conservative surgical options, especially in emergency situations where prenatal diagnosis is not available.