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Case Reports
. 2013 Aug;122(2 Pt 2):440-444.
doi: 10.1097/AOG.0b013e3182998ec5.

Peripartum robotic-assisted laparoscopic hysterectomy after second-trimester pregnancy loss with placenta increta

Stephanie Boes  1 , Haider Mahdi, Fadi Khoury, Mehdi Moslemi Kebria
Affiliations
Case Reports

Peripartum robotic-assisted laparoscopic hysterectomy after second-trimester pregnancy loss with placenta increta

Stephanie Boes et al. Obstet Gynecol. 2013 Aug.

Abstract

Background: Peripartum hysterectomy is performed for a variety of indications, including abnormal placentation, retained placenta, uterine rupture, and uterine atony. Most cases are emergent and performed through open laparotomy.

Case: At 20 weeks of gestation, a patient with previous endometrial ablation had ruptured membranes and delivered her fetus but not her placenta. She was hemodynamically stable and underwent robotic hysterectomy. Surgical pathology confirmed placenta increta.

Conclusion: In appropriate patients, a minimally invasive approach may be considered for peripartum hysterectomy to potentially decrease maternal morbidity.

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References

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