“Filling the bladder” at Cesarean Hysterectomy for Placenta Percreta

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Cesarean hysterectomy for placenta percreta invading the anterior abdominal wall: anesthetic considerations--a case report.

Placenta accreta is defined as an abnormal adherence of the placenta to the uterine wall owing to a faulty or an absent decidua basalis. Placenta accreta is further subdivided into placenta accreta vera, increta and percreta, depending on the level of invasion of the uterine wall and surrounding structures. Placenta percreta represents invasion to the serosa and/or other pelvic structures. We h...

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A Cesarean hysterectomy for invading placenta percreta: anesthetic safety considerations--a case report.

A 41-year-old woman presented to the surgical suite with an undiagnosed placenta percreta invading the bladder. The patient lost 16,000 mL of blood before the hemorrhage was surgically controlled, and a successful cesarean delivery, as well as a total abdominal hysterectomy, were performed. Ultimately, the patient was discharged 1 week later with a healthy baby. Unlike placenta accreta where th...

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Successful management of placenta percreta by cesarean hysterectomy with transverse uterine fundal incision

Placenta accreta presents one of the highest risks to pregnancy, and its more severe variant, placenta percreta, is particularly risky. The incidence of both conditions is increasing. Placenta percreta requires a cesarean hysterectomy for management, but the challenges associated with this surgery often result in severe obstetric hemorrhaging and high rates of maternal morbidity. Several recent...

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Placenta percreta managed by transverse uterine fundal incision with retrograde cesarean hysterectomy: a novel surgical approach

KEY CLINICAL MESSAGE Placenta percreta (with bladder invasion) is a rare obstetric condition with the risk of massive intraoperative hemorrhage. In these cases, the combination of a transverse uterine fundal incision and retrograde cesarean hysterectomy could be useful to minimize maternal hemorrhage and avoid severe bladder injury.

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Robotically assisted delayed total laparoscopic hysterectomy for placenta percreta☆

BACKGROUND The prevalence of morbidly adherent placenta has dramatically increased in the setting of the rising cesarean rate in the United States. Delayed surgical management of placenta accreta and its variants is emerging as methods that may significantly decrease bleeding and perioperative complications; however, optimal surgical approaches have not yet been determined. In this report, we p...

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ژورنال

عنوان ژورنال: Geburtshilfe und Frauenheilkunde

سال: 2018

ISSN: 0016-5751,1438-8804

DOI: 10.1055/a-0592-5032