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Case Reports
. 2012 Jan-Mar;16(1):143-7.
doi: 10.4293/108680812X13291597717022.

Laparoscopic-assisted vaginal hysterectomy in a patient with placenta percreta

Bethany D Skinner  1 , Alan M Golichowski, Gregory J Raff
Affiliations
Case Reports

Laparoscopic-assisted vaginal hysterectomy in a patient with placenta percreta

Bethany D Skinner et al. JSLS. 2012 Jan-Mar.

Abstract

Placenta percreta is a problem encountered with increasing frequency due to the rising rate of cesarean delivery. Conservative management of this condition is associated with decreased perioperative morbidity. When hysterectomy is necessary, a laparoscopic approach can provide additional benefits. We present the case of a woman with placenta percreta with bladder invasion who was undergoing conservative management and then required delayed hysterectomy. Laparoscopic-assisted vaginal hysterectomy was successfully performed. We review the techniques used to ensure a good outcome and the advantages of a minimally invasive approach to hysterectomy in this patient with placenta percreta.

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Figures

Figure 1.
Figure 1.
The bladder (A) was dissected from the invasive placenta at the lower uterine segment (B). Note the significant distention of the lower uterine segment by the placenta.
See this image and copyright information in PMC

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