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

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

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.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Female
  • Fetal Membranes, Premature Rupture / therapy
  • Humans
  • Hysterectomy* / methods
  • Labor, Induced
  • Laparoscopy
  • Peripartum Period
  • Placenta Accreta / surgery*
  • Pregnancy
  • Pregnancy Trimester, Second
  • Robotics