Bladder dissection for cesarean hysterectomy in case of severe placenta percreta: tips and tricks | Zendy

Raffaele Riccardi | Zendy; Elisabetta Gragnano | Zendy; Gabriele Saccone | Zendy; Cinzia Ferrara | Zendy; Giuseppe Bifulco | Zendy

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Bladder dissection for cesarean hysterectomy in case of severe placenta percreta: tips and tricks

Author(s) -

Raffaele Riccardi,

Elisabetta Gragnano,

Gabriele Saccone,

Cinzia Ferrara,

Giuseppe Bifulco

Publication year - 2022

Publication title -

perinatal journal

Language(s) - English

Resource type - Journals

ISSN - 1305-3124

DOI - 10.2399/prn.22.0301009

Subject(s) - medicine , placenta percreta , dissection (medical) , placenta accreta , forceps , hysterectomy , surgery , placenta , pregnancy , fetus , genetics , biology

Objective: In this article, we report a severe case of placenta percreta in order to present our surgical approach for bladder dissection in a pregnancy with placenta accreta spectrum (PAS). Case(s): Bladder dissection was performed using bipolar forceps and bipolar scissors and with a meticulous lateral-to-medial dissection on each side. Conclusion: We recommend electrodissection of the bladder using bipolar forceps. Bipolar device may indeed help in the hemostasis of the placenta vessels while performing the bladder dissection.

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