title: Laparoscopic approach for peripartum hysterectomy.
abstract: Abnormal placentation is the most common indication for peripartum hysterectomy. To date, the approach described in the literature is laparotomy, which is associated with high morbidity and mortality. A 30-year-old gravida 4 para 3 had a postpartum diagnosis of placenta percreta. She was first treated conservatively. On day 3 after delivery, because of persistent vaginal bleeding, she underwent a laparoscopic hysterectomy. No postoperative complications occurred, and the patient was discharged on postoperative day 3. Laparoscopic peripartum hysterectomy could become the approach of choice in selected patients with abnormal placentation to avoid complications associated with laparotomy.
authors: 2nd Department of Obstetrics and Gynecology, Santa Chiara Hospital, Pisa, Italy.
authors: Silvia
authors: S
authors: Garibaldi
authors: Alessandra
authors: A
authors: Perutelli
authors: Chiara
authors: C
authors: Baldacci
authors: Antonio
authors: A
authors: Gargini
authors: Stefano
authors: S
authors: Basile
authors: Maria Giovanna
authors: MG
authors: Salerno
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy; D010921:Placenta Accreta / Q000175:diagnosis / Q000601:surgery*; D006473:Postpartum Hemorrhage / Q000209:etiology; D049590:Postpartum Period; D011247:Pregnancy