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Published on: January 17, 2019
Peripartum robotic-assisted laparoscopic hysterectomy after second-trimester pregnancy loss with placenta increta
Stephanie Boes1, Haider Mahdi, Fadi Khoury
1Divisions of Maternal Fetal Medicine and Gynecologic Oncology, Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio.
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.
Case:
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.
Conclusion:
In appropriate patients, a minimally invasive approach may be considered for peripartum hysterectomy to potentially decrease maternal morbidity.
