Laparoscopic approach for peripartum hysterectomy

Abnormal placentation is the most common indication for peripartum hysterectomy. To date, the approach described in the literature is laparotomy, which is associated with high morbidity and mortality. A 30-year-old gravida 4 para 3 had a postpartum diagnosis of placenta percreta. She was first treat...

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Bibliographic Details
Published inJournal of minimally invasive gynecology Vol. 20; no. 1; p. 112
Main Authors Garibaldi, Silvia, Perutelli, Alessandra, Baldacci, Chiara, Gargini, Antonio, Basile, Stefano, Salerno, Maria Giovanna
Format Journal Article
LanguageEnglish
Published United States 01.01.2013
Subjects
Abdominal Pain - etiology
Adult
Female
Humans
Hysterectomy - methods
Laparoscopy
Placenta Accreta - diagnosis
Placenta Accreta - surgery
Postpartum Hemorrhage - etiology
Postpartum Period
Pregnancy
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Summary:Abnormal placentation is the most common indication for peripartum hysterectomy. To date, the approach described in the literature is laparotomy, which is associated with high morbidity and mortality. A 30-year-old gravida 4 para 3 had a postpartum diagnosis of placenta percreta. She was first treated conservatively. On day 3 after delivery, because of persistent vaginal bleeding, she underwent a laparoscopic hysterectomy. No postoperative complications occurred, and the patient was discharged on postoperative day 3. Laparoscopic peripartum hysterectomy could become the approach of choice in selected patients with abnormal placentation to avoid complications associated with laparotomy.
ISSN:1553-4669
DOI:10.1016/j.jmig.2012.08.779