Placenta accreta spectrum (PAS) and peripartum hysterectomy

Application of Color Doppler Ultrasound Combined with Magnetic Resonance Imaging in Placenta Accreta

“…Horng et al combined the advantages and disadvantages of color Doppler ultrasound and MRI, and the combined results were identified and demonstrated that the application of color Doppler ultrasound combined with magnetic resonance imaging in clinical trials of placenta accreta can improve sensitivity and specificity of prenatal testing. Fewer diagnoses and invalid diagnoses can be seen in [ 8 ]. Bao et al showed that placenta accreta is caused by the invasion of placental villi into the myometrium caused by traumatic defects of the endometrium and primary decidual dysplasia and has a high incidence.…”

Focus on the Primary Prevention of Intrauterine Adhesions: Current Concept and Vision

“…In terms of preoperative procedures carried out before hysteroscopic tissue removal, some may increase the risk of IUA development. The most common clinical situations include a relatively large submucosal myoma, and the management of retained placenta (placenta remnants) and/or abnormal placentation, such as placenta previa, accrete, increta, and percreta [ 21 , 36 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 ]. Preoperative uterine artery embolization (UAE) or a similar procedure performed by surgeons (uterine vessel occlusion (UVO) either by laparoscopy or by exploratory laparotomy) may be an example [ 89 , 90 , 91 , 92 , 93 , 94 ].…”

“…The clinical symptoms of C/S scarring vary greatly, ranging from no symptoms to troublesome and life-threatening diseases. The symptoms include intermittent spotting or persistent bleeding, inability of implantation (subfertility, infertility, repeated miscarriage, or C/S scar ectopic pregnancy), or abnormality of implantation, such as placenta previa, placenta accrete, and placenta increta [ 16 , 17 , 18 , 19 , 20 , 21 , 22 ]. All of these might significantly increase the risk of pregnancy-related morbidity and mortality [ 19 ], including uterine rupture and postpartum hemorrhage (PPH).…”

Is ultrasound valuable for the diagnosis of women with abnormal detrusor activity?

“…9,10 After getting pregnancy, subsequent obstetric ultrasound, such as evaluation of fetus growth, fetal position, and placenta location provides an immediate and effective tool, which helps to identify any abnormal findings associated with untoward pregnancy outcome, such as an early identification of intrauterine growth restriction, abnormal placentation (placenta accrete spectrum [PAS]), and congenital fetal abnormalities. 8,11 Furthermore, additional fetal well beings can be detected by fetal biophysical profile as well as risk of preterm labor mediated by ultrasound. 8,11 For gynecologic evaluation, such as initial screening and evaluation of the presence of adnexa mass, uterine mass, and abnormal uterine bleeding, ultrasound provides an immediate and noninvasive examination, which not only fulfills excellent screening purpose but also offers a useful message for further treatment plan.…”

“…8,11 Furthermore, additional fetal well beings can be detected by fetal biophysical profile as well as risk of preterm labor mediated by ultrasound. 8,11 For gynecologic evaluation, such as initial screening and evaluation of the presence of adnexa mass, uterine mass, and abnormal uterine bleeding, ultrasound provides an immediate and noninvasive examination, which not only fulfills excellent screening purpose but also offers a useful message for further treatment plan. 6,12 By contrast, for urogynecology patients, the role of ultrasound is highly controversial.…”