Placenta accreta and beyond: Aesop's fables

摘要

Sir We have read with great interest the article by Matsubara et al. (1). The author has described measures and techniques of cesarean hysterectomy for placenta praevia accreta that he would like to be universally achievable. In our country, the rate of cesarean sections can reach almost 80% of deliveries and gynecologic surgery teams are often confronted with cases of placenta previa, accreta or percreta. In view of the lack of standardization of cesarean hysterectomy technique, and with building up of experience, we came to develop our own technique, which is safe and can be adapted to emergency cases. First of all, placement of ureteral stents is not always possible, especially during emergencies in cases with massive bleeding.