Uterine Extra-Abdominal Exposure in the Management of Anterior Placenta Previa and Accreta to Proceed Hysterotomy

Abstract

The rates of placenta praevia and accreta are rising, probably as a result of increasing rates of cesarean delivery, as well as maternal age and assisted reproductive technologyIn this paper, we present a case report of a pregnancy complicated by anterior placenta praevia and accreta, in which the uterine extra-abdominal exposure technique was used to proceed the hysterotomy in the uterine fundus in order to avoid excessive bleeding and also to better evaluate the lower segment and consequent hysterectomy requirement. The main objective of this procedure is to describe a surgical technique which should guide the hysterotomy, in a position far enough away from the placenta site (fundus or posterior), in order to prevent bleeding complications in placental accreta disorders.