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Delve into the fascinating world of placenta accreta spectrum through this in-depth virtual gross rounds video. Tailored for medical students, pathology residents, and pathologists' assistants, this educational content focuses exclusively on the gross anatomical features and histological preparation of abnormal placental adherence. Explore the intricate gross anatomy of the placenta accreta spectrum, including: • Placenta accreta • Placenta increta • Placenta percreta Learn to identify key macroscopic features that distinguish normal placentas from those affected by accreta spectrum. Discover the nuances of specimen handling, dissection techniques, and optimal sampling methods for histological examination. This video covers: • Gross anatomical characteristics of placenta accreta spectrum • Step-by-step dissection protocol for affected placentas • Proper sampling techniques for histological evaluation • Macroscopic indicators of varying degrees of invasion • Tips for preserving critical anatomical relationships during processing Perfect your skills in recognizing subtle gross changes and selecting the most informative areas for microscopic analysis. Enhance your understanding of this complex condition from a purely anatomical and histological perspective. Whether you're preparing for pathology exams or honing your gross examination skills, this virtual gross rounds session will elevate your expertise in handling and evaluating placenta accreta syndrome specimens. Chapters: 00:19 Orientation and Anatomy 01:55 Indications for a postpartum hysterectomy 02:56 Main complication of a placenta accreta 03:54 AIP mnemonic for accreta, increta, and percreta 05:58 Proposed grading of placenta accreta spectrum 08:06 How would you grade this? 09:54 Risk factors for placenta accreta 11:15 Grossing pearls 13:19 Transversely cut in situ placenta in a hysterectomy sample 14:10 The "money" section - most important to take