title: Peripartum robotic-assisted laparoscopic hysterectomy after second-trimester pregnancy loss with placenta increta.
abstract: BACKGROUND
  Peripartum hysterectomy is performed for a variety of indications, including abnormal placentation, retained placenta, uterine rupture, and uterine atony. Most cases are emergent and performed through open laparotomy.
  
  
  METHODS
  At 20 weeks of gestation, a patient with previous endometrial ablation had ruptured membranes and delivered her fetus but not her placenta. She was hemodynamically stable and underwent robotic hysterectomy. Surgical pathology confirmed placenta increta.
  
  
  CONCLUSIONS
  In appropriate patients, a minimally invasive approach may be considered for peripartum hysterectomy to potentially decrease maternal morbidity.
authors.affiliation: Divisions of Maternal Fetal Medicine and Gynecologic Oncology, Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Boes
authors.forename: Haider
authors.initials: H
authors.lastname: Mahdi
authors.forename: Fadi
authors.initials: F
authors.lastname: Khoury
authors.forename: Mehdi Moslemi
authors.initials: MM
authors.lastname: Kebria
mesh_terms: D000328:Adult; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000628:therapy; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007751:Labor, Induced; D010535:Laparoscopy; D058725:Peripartum Period; D010921:Placenta Accreta / Q000601:surgery*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D012371:Robotics