title: Successful management of intraoperative hemorrhage from placenta previa accreta: intrauterine tamponade balloons brought out through the abdominal wall.
abstract: BACKGROUND
  Conservative management for placenta previa accreta (PPA) may be preferred, but uncontrollable hemorrhage sometimes occurs during a cesarean section.
  
  
  METHODS
  We present a case with a successful maneuver for the management of intraoperative hemorrhage in PPA. Profuse hemorrhage occurred due to partial placental separation during a cesarean section. The bleeding was stopped by the placement of intrauterine tamponade balloons with their shafts passed through the anterior abdominal wall. The catheters were removed after 24 h. The patient had no complications, and the placenta spontaneously resorbed three months after delivery.
  
  
  CONCLUSIONS
  This is a useful addition to the options for management of PPA at cesarean section.
authors.affiliation: Department of Gynecology and Obstetrics, Kyoto University , Kyoto , Japan.
authors.forename: Eiji
authors.initials: E
authors.lastname: Kondoh
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kawasaki
authors.forename: Akeo
authors.initials: A
authors.lastname: Kawamura
authors.forename: Akihiko
authors.initials: A
authors.lastname: Ueda
authors.forename: Kohei
authors.initials: K
authors.lastname: Fujita
authors.forename: Ikuo
authors.initials: I
authors.lastname: Konishi
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000601:surgery*; D010923:Placenta Previa / Q000601:surgery*; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D058738:Uterine Balloon Tamponade / Q000379:methods*