The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
The Triple-P procedure as a conservative surgical alternative to peripartum hysterectomy for placenta percreta
Abstract
The reported maternal mortality for morbidly adherent placenta ranges from 7% to 10% worldwide. Current treatment modalities for this potentially life-threatening condition include radical approaches such as elective peripartum hysterectomy with or without bowel/bladder resection or ureteric re-implantation (for placenta percreta infiltrating these organs), and conservative measures such as compression sutures with balloon tamponade and the placenta remaining in situ. However, both conservative and radical measures are associated with significant maternal morbidity and mortality. The present article describes the Triple-P procedure-which involves perioperative placental localization and delivery of the fetus via transverse uterine incision above the upper border of the placenta; pelvic devascularization; and placental non-separation with myometrial excision and reconstruction of the uterine wall-as a safe and effective alternative to conservative management or peripartum hysterectomy.
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“Although the UK and French studies were conducted during a comparable time period, allowing appropriate comparison, the evolution of knowledge, awareness and management of PAS across this time period may be a partial explanation for the differences in outcomes between the countries.”
From Placenta accreta spectrum – variations in clinical practice and maternal morbidity between the UK and France: a population‐based comparative study (2022) · cites this paper as [41]
Citations
Cites
Abnormal placentation: Twenty-year analysis
Wu, S., Kocherginsky, M., & Hibbard, J. U. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.12.074 · Cited by 1,331
Maternal Outcome After Conservative Treatment of Placenta Accreta
Sentilhes, L., Ambroselli, C., Kayem, G., Provansal, M., Fernandez, H., Perrotin, F., Winer, N., Pierre, F., Benachi, A., Dreyfus, M., et al. (2010) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e3181d066d4 · Cited by 515
Anterior placenta percreta: surgical approach, hemostasis and uterine repair
Palacios-Jaraquemada, J. M., Pesaresi, M., Nassif, J. C., & Hermosid, S. (2004) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/j.0001-6349.2004.00517.x · Cited by 229
Placenta creta and placenta praevia creta
Khong, T. Y., & Robertson, W. B. (1987) · Placenta · doi:10.1016/0143-4004(87)90067-1 · Cited by 193
Morbidity and Mortality of Peripartum Hysterectomy
Wright, J. D., Devine, P., Shah, M. M., Gaddipati, S., Lewin, S. N., Simpson, L. L., Bonanno, C., Sun, X., D’Alton, M. E., & Herzog, T. J. (2010) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e3181df94fb · Cited by 160
Diagnosis and management of placenta accreta
Palacios-Jaraquemada, J. M. (2008) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2008.08.003 · Cited by 123
Surgical aspects of postpartum haemorrhage
Chandraharan, E., & Arulkumaran, S. (2008) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2008.08.001 · Cited by 64
Self-citationObstetric hysterectomy: fifteen years' experience in a Nigerian tertiary centre
Okogbenin, S., Gharoro, E., Otoide, V. O., & Okonta, P. I. (2003) · Journal of Obstetrics and Gynaecology · doi:10.1080/0144361031000119475 · Cited by 54
The use of the ‘tamponade test’ to stop massive obstetric haemorrhage in placenta accreta
Frenzel, D., Condous, G. S., Papageorghiou, A. T., & McWhinney, N. (2005) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2005.00491.x · Cited by 42
Uterus‐conserving surgery: tactics to avoid bleeding in placenta percreta
Palacios-Jaraquemada, J. M. (2008) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2008.01914.x · Cited by 7
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Abnormal Placentation: Placenta Previa, Vasa Previa, and Placenta Accreta
Silver, R. M. (2015) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000001005 · Cited by 519
D'Antonio, F., Iacovella, C., & Bhide, A. (2013) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.13194 · Cited by 398
Collins, S. L., Alemdar, B., van Beekhuizen, H. J., Bertholdt, C., Braun, T., Calda, P., Delorme, P., Duvekot, J. J., Gronbeck, L., Kayem, G., et al. (2019) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2019.02.054 · Cited by 350
FIGO consensus guidelines on placenta accreta spectrum disorders: Conservative management,
Sentilhes, L., Kayem, G., Chandraharan, E., Palacios‐Jaraquemada, J., Jauniaux, E., & Panel, F. T. F. P. A. D. A. M. E. C. (2018) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.12410 · Cited by 322
Self-citationCesarean scar pregnancy is a precursor of morbidly adherent placenta
Timor‐Tritsch, I. E., Monteagudo, A., Calì, G., Vintzileos, A. M., Viscarello, R. R., Al‐Khan, A., Zamudio, S., Mayberry, P., Cordoba, M. I., & Dar, P. (2014) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.13426 · Cited by 253
“Chanddraharan et al.21 have also described their uterus-sparing ‘Triple P procedure’.”
Method
Metadata
- Authors
- Chandraharan, E., Rao, S., Belli, A.-M., & Arulkumaran, S.
- Affiliations
- St George’s University Hospitals NHS Foundation Trust (GB)
- Corresponding author
- Chandraharan, Edwin
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2012-02-11
- Volume
- 117
- Issue
- 2
- Pages
- 191-194
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- OpenAlex
- W2006699354
- Cited by
- 221
- References
- 10
- Citations by year
- 2026: 13 · 2025: 11 · 2024: 15 · 2023: 17 · 2022: 16 · 2021: 18 · 2020: 25 · 2019: 24 · 2018: 17 · 2017: 23 · 2016: 15 · 2015: 6 · 2014: 10 · 2013: 6 · 2012: 5
- FWCI
- 7.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Hematology › Blood transfusion and management
- Keywords
- placenta percreta, placenta accreta spectrum, peripartum hysterectomy, conservative treatment, uterine reconstruction, maternal mortality, maternal morbidity
- MeSH terms
- Female, Postpartum Hemorrhage, Humans, Hysterectomy, Maternal Mortality, Myometrium, Placenta Accreta, Pregnancy, Uterus, Plastic Surgery Procedures, Delivery, Obstetric, Peripartum Period
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