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Licon E, Vestal NL, Sangara RN, Miller H, Jooya N, Matsuzaki S, Bender NM, Sasso EB, Matsuo K. Planned supracervical hysterectomy for surgical management of placenta accreta spectrum: A comparative study. Eur J Obstet Gynecol Reprod Biol 2021; 261:249-251. [PMID: 33972136 DOI: 10.1016/j.ejogrb.2021.04.039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 04/27/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Ernesto Licon
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, 90033, USA
| | - Nicole L Vestal
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, 90033, USA; Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
| | - Rauvynne N Sangara
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, 90033, USA
| | - Heather Miller
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, 90033, USA
| | - Neda Jooya
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, 90033, USA
| | - Shinya Matsuzaki
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, 90033, USA
| | - Nicole M Bender
- Division of Obstetrics, Gynecology and Gynecologic Subspecialties, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, 90033, USA
| | - Elizabeth B Sasso
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, 90033, USA
| | - Koji Matsuo
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, 90033, USA; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, 90033, USA.
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Matsubara S, Takahashi H. Total vs. supracervical hysterectomy for placenta accreta spectrum disorders. J Matern Fetal Neonatal Med 2021; 35:5504-5505. [PMID: 33749489 DOI: 10.1080/14767058.2021.1886396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan
| | - Hironori Takahashi
- Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan
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Huang F, Lai QQ, Wu H, Ke XT. Application of Indirect Signs of Magnetic Resonance Imaging (MRI) in Prenatal Diagnosis of Abnormally Invasive Placenta. Med Sci Monit 2020; 26:e923272. [PMID: 32525848 PMCID: PMC7304312 DOI: 10.12659/msm.923272] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 04/06/2020] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND The aim of this study was to assess the value of indirect MRI signs in the prenatal diagnosis of abnormally invasive placenta (AIP). MATERIAL AND METHODS This study involved the retrospective analysis of indirect signs of 109 patients with AIP and 59 patients without AIP. The numbers of cases of placenta increta, accreta, and percreta confirmed by surgical and pathological results were 54, 19, and 36, respectively. The indirect signs included the following: dark intraplacental bands in T2WI sequence, focal outward bulging of the placenta, abnormal placental vascularity, and heterogeneous placental signal intensity. RESULTS There were significant differences in dark intraplacental bands in T2WI sequence, focal outward bulging of the placenta, and abnormal placental vascularity between the AIP and the non-AIP groups. There was no significant difference in dark intraplacental bands in T2WI sequence between the placenta percreta and increta groups, but there was a significant difference between the other 2 AIP groups and the placenta accreta group. Focal outward bulging of the placenta was significantly different between the percreta group and the placenta accreta group, but there was no significant difference between the other 2 AIP groups and the placenta increta group. There were no significant differences in abnormal placental vascularity among the3 subtypes of AIP. CONCLUSIONS The indirect signs of dark intraplacental bands in T2WI sequence, focal outward bulging of the placenta, and abnormal placental vascularity are reliable signs of AIP. The indirect sign of dark intraplacental bands in T2WI sequence may be used to distinguish placental accreta from the other 2 subtypes of AIP.
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Levin G, Rottenstreich A. Letter: Evaluation of the Surgical Technique in Caesarean Hysterectomy for Placenta Acrreta Spectrum. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2019; 41:1707. [PMID: 31785796 DOI: 10.1016/j.jogc.2019.05.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2019] [Accepted: 05/27/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Gabriel Levin
- Department of Obstetrics and Gynecology, Hadassah University Medical Center, Jerusalem, Israel
| | - Amihai Rottenstreich
- Department of Obstetrics and Gynecology, Hadassah University Medical Center, Jerusalem, Israel
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Levin G, Rottenstreich A. Management of Patients with Invasive Placenta: Retrospective Studies Should Be Better Constructed. J Vasc Interv Radiol 2019; 30:1312-1313. [PMID: 31171400 DOI: 10.1016/j.jvir.2019.04.028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Accepted: 04/02/2019] [Indexed: 11/29/2022] Open
Affiliation(s)
- Gabriel Levin
- Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, PO Box 12000, Jerusalem, Israel 91120
| | - Amihai Rottenstreich
- Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, PO Box 12000, Jerusalem, Israel 91120
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