title: Opening the bladder for cesarean hysterectomy for placenta previa percreta with bladder invasion.
abstract: Cesarean hysterectomy for placenta previa percreta with bladder invasion often induces not only massive hemorrhage but also severe bladder/ureter injuries. A 37-year-old woman with previous cesarean delivery suffered placenta previa percreta with bladder invasion. At the 34th week, we performed cesarean hysterectomy. Without separating the bladder from the uterus/cervix, we incised the bladder lateral wall using an automatic stapling/cutting device, leaving the bladder posterior wall adhering to the uterus and resecting it with the uterus. The bladder was easily repaired without urological sequelae. We suggest a new, simple and safe technique for cesarean hysterectomy for this disease.
authors.affiliation: Department of Obstetrics and Gynecology, Jichi Medical University, Yakushiji Shimotsuke, Tochigi, Japan. matsushi@jichi.ac.jp
authors.forename: Shigeki
authors.initials: S
authors.lastname: Matsubara
authors.forename: Akihide
authors.initials: A
authors.lastname: Ohkuchi
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yashi
authors.forename: Akio
authors.initials: A
authors.lastname: Izumi
authors.forename: Michitaka
authors.initials: M
authors.lastname: Ohwada
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Kuwata
authors.forename: Rie
authors.initials: R
authors.lastname: Usui
authors.forename: Yoshimine
authors.initials: Y
authors.lastname: Kuwata
authors.forename: Manabu
authors.initials: M
authors.lastname: Nakata
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Suzuki