12/15/2025
Preoperative ultrasound for the win! The combination of transabdominal and transvaginal imaging to assess intracervical hypervascularity and bladder wall distortion in patients with placenta accreta spectrum disorders can help determine the need for cesarean hysterectomy vs uterine-sparing surgery. This decision is traditionally only made intraoperatively, and these findings support the framework for preoperative counseling and decision-making. Read the full article in 𝘛𝘩𝘦 𝘈𝘮𝘦𝘳𝘪𝘤𝘢𝘯 𝘑𝘰𝘶𝘳𝘯𝘢𝘭 𝘰𝘧 𝘖𝘣𝘴𝘵𝘦𝘵𝘳𝘪𝘤𝘴 𝘢𝘯𝘥 𝘎𝘺𝘯𝘦𝘤𝘰𝘭𝘰𝘨𝘺.
Diagnostic ultrasound to inform the surgical approach to cesarean delivery in patients at high risk for placenta accreta spectrum disorders - A, Grayscale transvaginal parasagittal image of the cervix (yellow arrow indicates the absence of intracervical hypervascularity). B, Grade 1 intracervical hypervascularity characterized by enlarged vascular channels (blue arrow) limited to 50% of the cervix (yellow dashed line). The clear zone between the placenta and cervix (white arrow) is visualized. D, Grade 3 intracervical hypervascularity. This is characterized by enlarged vascular channels parallel to the cervical canal (yellow arrow) and extending >50% of the cervical length. The placenta (∗) is almost indistinguishable from the cervix with loss of the clear zone (blue arrow). https://ow.ly/N6g650XJlB9
