Surgical Techniques for the Management of Placenta Accreta Spectrum

Fady Khoury-Collado, J. M. Newton, Olga R. Brook, Daniela A. Carusi, Vineet K. Shrivastava, Brian A. Crosland, Karin A. Fox, Meena Khandelwal, Amer K. Karam, Kelly A. Bennett, Adam T. Sandlin, Scott A. Shainker, Brett D. Einerson, Michael A. Belfort

Research output: Contribution to journalReview articlepeer-review


The surgical management of placenta accreta spectrum (PAS) is often challenging. There are a variety of techniques and management options described in the literature ranging from uterine sparing to cesarean hysterectomy. Following the inaugural meeting of the Pan-American Society for Placenta Accreta Spectrum a multidisciplinary group collaborated to describe collective recommendations for the surgical management of PAS. In this manuscript, we outline individual components of the procedure and provide suggested direction at key points of a cesarean hysterectomy in the setting of PAS. Key Points The surgical management of PAS requires careful planning and expertise. Multidisciplinary team care for pregnancies complicated by PAS can decrease morbidity and mortality. Careful surgical techniques can minimize risk of significant hemorrhage by avoiding pitfalls.

Original languageEnglish (US)
Pages (from-to)970-979
Number of pages10
JournalAmerican Journal of Perinatology
Issue number9
StatePublished - Jun 19 2023
Externally publishedYes


  • cesarean hysterectomy
  • placenta accreta spectrum
  • surgical treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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