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This study aimed to describe a novel surgical technique for the management of antenatally suspected placenta accreta spectrum (PAS). This is a retrospective, case series of patients with suspected PAS undergoing peripartum hysterectomy with a reloadable articulating stapler at a tertiary care center. Eighteen patients with antenatally suspected PAS were identified and underwent peripartum hysterectomy with the aid of a reloadable stapler. Mean gestational age at delivery was 34 ± 1 weeks. Mean total operative time (skin-to-skin) was 11