Managing placenta accreta spectrum in low‐resource settings using a novel dissection‐free aorta clamp: Operative technique

Surgical management of Placenta accreta spectrum (PAS) is associated with profuse bleeding and increased risk of operative injury to the adherent pelvic structures. The study propose using a novel aorta clamp that can occlude the abdominal aorta without retroperitoneal dissection, thereby making it easy for an obstetrician‐gynecologist to use it. The experience using the novel PAC, in the current series and across multiple centers in India, demonstrates that the sizeable abdominal aorta can be clamped safely and effectively without retroperitoneal dissection—with no incidence of vascular injury so far. However, the study would urge only designated centers with experienced obstetrician‐gynecologists—backed by a urologist, adequate blood bank and intensive care facilities—to tackle PAS procedures using the PAC technique.