Conservative Management of Placenta Accreta Spectrum Using Kasr Al-Ainy Technique With or Without Hayman Sutures

Inclusion Criteria: * Age 18-40 years * Antenatal PAS diagnosis confirmed by TAS/TVS/Doppler * Eligible for conservative Kasr Al-Ainy surgery * Singleton pregnancy * Written informed consent Exclusion Criteria: * Multiple pregnancy * Uterine fibroids * Previous cesarean myomectomy * Cervical accreta * Extensive parametrial or bladder invasion requiring hysterectomy * Known coagulopathy or uncorrected bleeding disorder. * Severe medical comorbidities rendering the patient unfit for major surgery under general anesthesia (e.g., severe cardiac or pulmonary disease) * Medical disorders as HTN and DM * Patient refusal