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 language | English |
---|---|
Pages (from-to) | 361-364 |
Number of pages | 4 |
Journal | International Journal of Surgery Case Reports |
Volume | 72 |
DOIs | |
State | Published - 2020 |
Externally published | Yes |
Keywords
- Case report
- Minimal invasive hysterectomy
- Placenta accreta spectrum
- Second trimester