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Obstet Gynecol. 2013 Aug;122(2 Pt 2):440-4. doi: 10.1097/AOG.0b013e3182998ec5.

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

Author information

  • 1Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio 44195, USA. stephanieboes@gmail.com

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.

PMID:
23884253
[PubMed - indexed for MEDLINE]
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