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Abnormally invasive placenta (AIP) are increasing pathologies, but not always they present the same difficulties during surgery. So a presurgical step before to assess a cesarean section in pregnancies with AIP is the evaluation of the vascular anastomotic system between the bladder, uterus, and vagina involving the superior, medial, and inferior vaginal and the lower vesical arteries. This is fundamental to plan the management of eventual surgical complication and to predict perisurgical and postsurgical outcomes.

New Important Step in Prenatal Evaluation of Abnormally Invasive Placenta: A Study of Bladder, Uterus, and Vagina Vascularization