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AJP Rep 2016; 06(02): e212-e215
DOI: 10.1055/s-0036-1584232
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Conservative Management of Invasive Placentation: Two Cases with Different Surgical Approaches

Emily E. Fay
1   Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington
,
Barbara Norquist
2   Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington
,
Jennifer Jolley
3   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington
,
Melissa Hardesty
4   Division of Gynecologic Oncology, Alaska Women's Cancer Care, Anchorage, Alaska
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Publikationsverlauf

27. Februar 2016

11. April 2016

Publikationsdatum:
09. Juni 2016 (online)

   Lizenzen und Reprints

Abstract

Background When placenta accreta complicates a delivery, the typical management is to perform a cesarean hysterectomy. Other management strategies, including leaving the placenta in situ, have been attempted and supported in some cases. This may allow for an interval hysterectomy, which can potentially decrease average blood loss and/or allow a minimally invasive approach to the hysterectomy.

Cases We present two cases of women with invasive placentation managed conservatively with interval hysterectomy. One woman was managed with robotic-assisted laparoscopic surgery and the other with an open surgical approach.

Conclusion These cases highlight the successful use of conservative management for invasive placentation in two stable patients and showcase the novel use of a robotic-assisted laparoscopic surgery for management of invasive placentation.

Keywords

placenta accreta - invasive placenta - cesarean hysterectomy - robotic surgery
 

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