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Updated: Apr 23, 2026

Ex Vivo Perfusion of the Rodent Placenta
Published on: May 30, 2019
Conservative management of placenta percreta: a stepwise approach
Ahmed Shabana1, Muhammad Fawzy, Waleed Refaie
1Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Purpose:
To describe a modified surgical approach in the form of stepwise cesarean section in placenta percreta.
Methods:
We conducted a prospective observational study. A total of 71 patients with placenta percreta were subjected to the new stepwise surgical approach and uterine repair at the time of cesarean delivery.
Results:
The procedure was successful in controlling the bleeding and preserving the patient's uterus in 65 (91.5%) women. Ten patients (14.1%) had urinary tract complications, nine (90%) were managed during cesarean section and one presented late in the form of vesicouterine fistula.
Conclusions:
A stepwise cesarean section is safe and effective procedure that can be applied in placenta percreta.

