Structured approach to one-step cesarean hysterectomy for placenta accreta spectrum: A video-based technical note

Placenta accreta spectrum (PAS) disorders are increasingly encountered due to the rise in cesarean deliveries and uterine surgeries. In patients with no future fertility desire, planned cesarean hysterectomy may be the most appropriate approach. We report the case of a 37-year-old woman with anterior placenta previa and suspected PAS, managed through a scheduled cesarean hysterectomy following multidisciplinary assessment. Key surgical steps are demonstrated through five didactic video sequences. The procedure was completed without complications, and histology confirmed placenta increta. The patient recovered uneventfully and was discharged on postoperative day seven. This video-enhanced technical note illustrates a structured surgical strategy and highlights important pre-, intra-, and postoperative considerations in PAS cases.