Obstetrics & Gynecology

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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e3182998ec5
Case Reports

Peripartum Robotic-Assisted Laparoscopic Hysterectomy After Second-Trimester Pregnancy Loss With Placenta Increta

Boes, Stephanie MD; Mahdi, Haider MD; Khoury, Fadi MD; Kebria, Mehdi Moslemi MD

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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.

© 2013 by The American College of Obstetricians and Gynecologists.

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