Uterine Sparing Techniques in Placenta Accreta

Placenta Accreta (PA) is a major challenge facing obstetricians nowadays owing to increased incidence of PA parallel to increased Caesarean Section rates. Although the age of patients with PA getting younger and fertility preservation is required, there is no definite planned management method widely accepted except for hysterectomy. Uterine sparing techniques were developed to prevent poor sequalae of hysterectomy but neither one methods proved to be superior to the other nor got wide acceptance by obstetricians and hysterectomy remains the most popular and accepted method for PA management as it minimize maternal morbidity and mortality. The aim of this review is to put the light on Uterine Sparing techniques aiming to preserve future fertility and, minimizing the poor sequalae of hysterectomy.