<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032018000100072</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento conservador del acretismo placentario. Reporte de tres casos y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Conservative treatment of placental acreage. Three cases report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kably Ambe]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta Martínez]]></surname>
<given-names><![CDATA[Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bustamante Quan]]></surname>
<given-names><![CDATA[Yasiu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Villanueva]]></surname>
<given-names><![CDATA[Gustavo Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozano Zalce]]></surname>
<given-names><![CDATA[Horacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Mendizabal]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Fertilidad del CEPAM  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Lomas  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UNAM Facultad de Medicina Hospital Ángeles Lomas]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Ángeles Lomas Servicio de Radiología e Imagen ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>16</volume>
<numero>1</numero>
<fpage>72</fpage>
<lpage>75</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032018000100072&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032018000100072&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032018000100072&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El acretismo placentario (AP) es una de las condiciones obstétricas más graves y con elevada morbilidad cuya incidencia se ha reportado hasta en 1 de cada 333 nacimientos, incrementándose notoriamente los últimos años. Los reportes de mortalidad por complicaciones asociadas son hasta de 7% y podría ser aún mayor.  Objetivo:  Reportar tres casos de pacientes en quienes se realizó manejo conservador del AP asociado a placenta previa, comentar los resultados y realizar la literatura al respecto.  Casos clínicos:  Se presentan tres casos de tratamiento conservador del AP y una revisión de la literatura de diversas bases de datos, tales como PubMed, Science, ACOG y la revista de Ginecología y Obstetricia de México.  Discusión y conclusiones: Actualmente es posible llevar a cabo un manejo conservador planteándose diversos abordajes; sin embargo, es importante recordar que el manejo debe ser individualizado, de manera general se ha recomendado la interrupción del embarazo entre la semana 34 y 35. Por otra parte, debe tenerse en consideración que el manejo conservador es una buena opción para mujeres que desean conservar la fertilidad o en casos en los que se encuentra adherida a órganos adyacentes como vejiga o intestino incrementando el riesgo de lesión.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Placenta accreta (PA) is one of the most serious obstetric condition with a high morbidity. The incidence has been reported in up to 1 in 333 births, increasing notably in recent years. Reports of mortality associated are up to 7% and could be even higher.  Objective:  To report three cases of patients in whom conservative management of the PA associated to placenta previa was performed, to comment the results and to review the literature.  Clinical cases:  We present three cases of conservative treatment of PA and review literature of several databases such as PubMed, Science, ACOG, and the journal of Ginecología y Obstetricia México.  Discussion and conclusions:  Currently it is possible to carry out a conservative management considering several approaches, however, it is important to remember that the management should be individualized, but in general has been recommended the interruption of pregnancy between the week 34 to 35. In addition, conservative management is a good option for women wishing to preserve fertility or in cases where it is attached to adjacent organs such as bladder or bowel, increasing the risk of injury.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Acretismo placentario]]></kwd>
<kwd lng="es"><![CDATA[hemorragia obstétrica]]></kwd>
<kwd lng="es"><![CDATA[tratamiento conservador]]></kwd>
<kwd lng="en"><![CDATA[Placenta accreta]]></kwd>
<kwd lng="en"><![CDATA[obstetric hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[conservative management]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silver]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Fox]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Barton]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Abuhamad]]></surname>
<given-names><![CDATA[AZ]]></given-names>
</name>
<name>
<surname><![CDATA[Simhan]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Huls]]></surname>
<given-names><![CDATA[CK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Center of excellence for placenta accreta]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2015</year>
<volume>212</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>561-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eshkoli]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Weintraub]]></surname>
<given-names><![CDATA[AY]]></given-names>
</name>
<name>
<surname><![CDATA[Sergienko]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sheiner]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Placenta accreta: risk factors, perinatal outcomes, and consequences for subsequent births]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2013</year>
<volume>208</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>219.e1-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bailit]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Grobman]]></surname>
<given-names><![CDATA[WA]]></given-names>
</name>
<name>
<surname><![CDATA[Rice]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Reddy]]></surname>
<given-names><![CDATA[UM]]></given-names>
</name>
<name>
<surname><![CDATA[Wapner]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Varner]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbidly adherent placenta treatments and outcomes]]></article-title>
<source><![CDATA[Obstet Gynecol]]></source>
<year>2015</year>
<volume>125</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>683-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Noguera-Sánchez]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Karchmer-Krivitzky]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rabadán-Martínez]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Antonio-Sánchez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acretismo placentario, un problema en aumento El diagnóstico oportuno como éxito del tratamiento]]></article-title>
<source><![CDATA[Ginecol Obstet Mex]]></source>
<year>2013</year>
<volume>81</volume>
<numero>02</numero>
<issue>02</issue>
<page-range>99-104</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fox]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Shamshirsaz]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Carusi]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Secord]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Turan]]></surname>
<given-names><![CDATA[OM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conservative management of morbidly adherent placenta expert review]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2015</year>
<volume>213</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>755-60</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pacheco]]></surname>
<given-names><![CDATA[LD]]></given-names>
</name>
<name>
<surname><![CDATA[Gei]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Controversies in the management of placenta accreta]]></article-title>
<source><![CDATA[Obstet Gynecol Clin North Am]]></source>
<year>2011</year>
<volume>38</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>313-xi</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<collab>Committee on Obstetric Practice</collab>
<article-title xml:lang=""><![CDATA[Committee opinion no 529: placenta accreta]]></article-title>
<source><![CDATA[Obstet Gynecol]]></source>
<year>2012</year>
<volume>120</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>207-11</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sentilhes]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Ambroselli]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Kayem]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Provansal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandez]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Perrotin]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal outcome after conservative treatment of placenta accreta]]></article-title>
<source><![CDATA[Obstet Gynecol]]></source>
<year>2010</year>
<volume>115</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>526-34</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[NP]]></given-names>
</name>
<name>
<surname><![CDATA[Ward]]></surname>
<given-names><![CDATA[GH]]></given-names>
</name>
<name>
<surname><![CDATA[Chandraharan]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conservative approach to the management of morbidly adherent placentae]]></article-title>
<source><![CDATA[Ceylon Med J]]></source>
<year>2012</year>
<volume>57</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>36-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Qin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Methotrexate management for placenta accreta a prospective study]]></article-title>
<source><![CDATA[Arch Gynecol Obstet]]></source>
<year>2015</year>
<volume>291</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1259-64</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
