Transverse uterine fundal incision - an alternative to vertical uterine incision for anterior placenta accreta involving the entire uterine wall: a case report

The placenta accreta spectrum is on rise. If the placenta is covering the entire anterior uterine wall, there are definite challenges involved in delivering the fetus without exsanguination and with minimal maternal blood loss. We present a case report that highlights the use of transverse uterine fundal incision (TFUI) in an anterior placenta previa with accreta involving the entire uterine wall. It can be considered as an option to vertical uterine incision in such cases where the patient is not desirous of future fertility and caesarean hysterectomy is planned