Delayed Hysterectomy in Placenta Accreta Spectrum Disorders (PAS): Better or Worse Method of Choice?

Authors

  • Konstantsa Neykova Medical University – Sofia, Bulgaria
  • Tsvetelina Popova Medical University – Sofia, Bulgaria
  • Svetlozar Slavov Medical University – Sofia, Bulgaria

DOI:

https://doi.org/10.7546/CRABS.2026.02.14

Keywords:

Caesarean section hysterectomy, interval hysterectomy, intraoperative blood loss, adjacent organ damage

Abstract

There are not many management options at the time of delivery in patients with placenta accreta spectrum (PAS) disorders. We conducted a small observational study on such cases managed in our tertiary maternal care centre at University Obstetrics and Gynecology Hospital “Maichin Dom” in Sofia, Bulgaria, between January 1, 2019 and December 31, 2023. Caesarean section (CS) hysterectomy still seems inevitable in most cases where other conservative management techniques are strongly considered impractical.

Author Biographies

Konstantsa Neykova, Medical University – Sofia, Bulgaria

Mailing Addresses:
First Gynecology Clinic,
University Obstetrics and Gynecology Hospital “Maichin Dom”,
2 Zdrave St,
1431 Sofia, Bulgaria
and
Department of Obstetrics and Gynecology,
Faculty of Medicine,
Medical University of Sofia,
1 St. Georgi Sofiiski St,
1431 Sofia, Bulgaria
E-mails: neykovaconstantsa@yahoo.com,
cneykova@medfac.mu-sofia.bg

Tsvetelina Popova, Medical University – Sofia, Bulgaria

Mailing Addresses:
First Gynecology Clinic,
University Obstetrics and Gynecology Hospital “Maichin Dom”,
2 Zdrave St,
1431 Sofia, Bulgaria
and
Department of Obstetrics and Gynecology,
Faculty of Medicine,
Medical University of Sofia,
1 St. Georgi Sofiiski St,
1431 Sofia, Bulgaria

E-mail: t.popova@medfac.mu-sofia.bg

Svetlozar Slavov, Medical University – Sofia, Bulgaria

Mailing Addresses:
First Gynecology Clinic,
University Obstetrics and Gynecology Hospital “Maichin Dom”,
2 Zdrave St,
1431 Sofia, Bulgaria
and
Department of Obstetrics and Gynecology,
Faculty of Medicine,
Medical University of Sofia,
1 St. Georgi Sofiiski St,
1431 Sofia, Bulgaria

E-mail: s.slavov@medfac.mu-sofia.bg

Downloads

Published

26-02-2026

How to Cite

[1]
K. Neykova, T. Popova, and S. Slavov, “Delayed Hysterectomy in Placenta Accreta Spectrum Disorders (PAS): Better or Worse Method of Choice?”, C. R. Acad. Bulg. Sci., vol. 79, no. 2, pp. 270–274, Feb. 2026.

Issue

Vol. 79 No. 2 (2026)

Section

Medicine

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