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Related Experiment Video

Updated: Mar 18, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Robotically assisted delayed total laparoscopic hysterectomy for placenta percreta.

Devon M Rupley¹, Ana I Tergas², Katherine L Palmerola¹

¹Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, USA.

Gynecologic Oncology Reports

|June 30, 2016

Summary

Robotic-assisted hysterectomy offers a minimally invasive option for managing placenta percreta after cesarean. This approach may reduce bleeding and speed recovery compared to traditional open surgery.

Keywords:

Delayed hysterectomy Laparoscopic hysterectomy Minimally invasive surgery Morbidly adherent placenta Placenta percreta Robotic surgery

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Last Updated: Mar 18, 2026

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Area of Science:

Minimally invasive surgery
Gynecologic oncology
Maternal-fetal medicine

Background:

Rising cesarean rates correlate with increased morbidly adherent placenta.
Delayed surgical management is a promising strategy for placenta accreta.
Optimal surgical techniques for placenta percreta remain under investigation.

Observation:

A case of robotic-assisted delayed interval hysterectomy for placenta percreta is presented.
The procedure was performed ten weeks after a tertiary cesarean section.
A 39-year-old gravida 9 para 3 patient underwent the robotic total laparoscopic hysterectomy.

Findings:

Robotic surgery provided superior visualization for precise dissection.
Estimated blood loss was lower than anticipated.
Patients experienced faster recovery times compared to open surgery.

Implications:

Robotic-assisted hysterectomy is a viable alternative to laparotomy.
This approach facilitates delayed interval surgical management of placenta percreta.
Minimally invasive techniques can improve outcomes for morbidly adherent placenta.