This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Complication of 3rd Stage of Labour, Subject name: Gynaecology & Obstetrics
The triple P procedure for placenta percreta involves all except: 
Select and explain. 
A. Pelvic devascularization, B. Placental localization using USG, C. Peripartum hysterectomy, D. Myometrial excision for placental nonseparation
C: Peripartum hysterectomy
Answer: C: Peripartum hysterectomy 
Explanation: Ans. is c, i.e. Peripartum hysterectomyRef Fernando Arias 4/e, p 396Triple P procedure has been developed for placenta percreta as a conservative surgical alternative to peripartum hysterectomy. It consists of following 3 steps:1. Perioperative placental localization and delivery of fetus via transverse uterine incision above the upper border of placenta.2. Pelvic devascularization3. Placental nonseparation is dealt with myometrial excision and reconstruction of uterine wall.