**6. Conclusion**

In front of such an individualized problem, a surgeon managing a case of abnormally invasive placenta should be well experienced to master this challenge but also to win it with less maternal and neonatal morbidity and mortality. While concrete standards still lack in terms of management, there are evidences that accreta and percreta are different. This difference

**Figure 5.** Schematic steps to be followed in the management of an abnormal invasive placentation (AIP).

is very important in selecting the strategy and in involving a multidisciplinary team when dealing with these critical situations. Gynecologic oncology has added a lot of value to the surgical techniques applied in cesarean hysterectomy and adapted to percreta cases. Also, we should not also underestimate the important role of the radiologist in suspecting early the diagnosis, alerting the surgeon, and subsequently inducing a cascade of preoperative preparation (**Figure 5**).
