Elective robotic hysterectomy for placenta accreta spectrum in the second trimester: Case report

Amro Elfeky, Mary Ann Son, Camila Paiva, Ioannis Alagkiozidis

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: A scheduled pre-viable hysterectomy is a treatment option for women with early diagnosed placenta accreta spectrum who do not wish future fertility. A minimally invasive hysterectomy with pregnancy in situ for placenta accreta spectrum has not been previously reported. Case: A patient with evidence of placenta accreta spectrum on prenatal imaging underwent an elective robot-assisted laparoscopic hysterectomy at 16 weeks of gestation. The procedure was uncomplicated and she was discharged on postoperative day 1. Pathology was consistent with placenta percreta. Conclusion: Robot-assisted laparoscopic hysterectomy with pregnancy in situ is feasible in a patient with placenta accreta spectrum in the second trimester. Teaching points: 1. Early diagnosis of placenta accreta spectrum is important for surgical planning and management. 2. We present a technique for minimally invasive hysterectomy in a patient with placenta accreta spectrum diagnosed before viability.

Original languageEnglish
Pages (from-to)361-364
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume72
DOIs
StatePublished - 2020
Externally publishedYes

Keywords

  • Case report
  • Minimal invasive hysterectomy
  • Placenta accreta spectrum
  • Second trimester

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