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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