الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Morbidly adherent placenta has become one of the most challenging obstetric surgeries which associated with major maternal morbidity and mortality (Lockhart et al., 2010).
Postoperative complications reported with a conservative approach include severe postpartum hemorrhage, postoperative disseminated intravascular coagulopathy, uterine niche, intrauterine adhesion, and infection resistant to antimicrobial therapy (Perez-Delboy and Wright, 2014).
Hysteroscopy is considered the gold standard for diagnosis of IUA. Hysteroscopy allows direct visualization of the endometrial cavity, Hysteroscopy can be performed in the office and offers the advantage of concurrent treatment (Amin, 2015).
The aim of this work was to evaluate uterine cavity by using hysteroscope after uterine conservation as a conservative procedures for MAP.
And our Research Question was:
In women complaining of morbidly adherent placenta which had conservative surgery does that procedure affect the uterine cavity and enodmetrium.
We conduct prospective, controlled clinical trial at Ain Shams University Maternity Hospital at early cancer detection and gynecological endoscopy unit by using a rigid 2.9mm hysteroscope and Normal saline for uterine distension.
40 cases who had surgical conservative management of placenta accreta were enrolled In this analysis (the evaluation of uterine cavity and the endometrium after conservative management of placenta accreta) after 3 months from the procedure by hysteroscopic evaluation of uterine cavity.
Our study population: Women were recruited from women who had uterine conservation for morbidly adherent placenta that already had several sonographic criteria for the diagnosis of MAP have been reported.
After taking informed oral consent, the recruited patients were subjected to history taking, general examination, abdominal examination and the patients who underwent surgical conservative management of MAP].
Our gold standard finding was detection and recording of any uterine pathology to evaluate the effect of conservative management on the uterine cavity.
There was no significant effect of the conservation procedure on the uterine cavity.
Conclusion
Hysteroscopic evaluation of uterine cavity after conservative management of MAP found that no effect on uterine cavity and endometrium, and by follow up of patient found no effect on fertility outcome.
In conclusion conservative management of MAP does not affect the uterine cavity and endometrium.