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  • Title: Opening the bladder for cesarean hysterectomy for placenta previa percreta with bladder invasion.
    Author: Matsubara S, Ohkuchi A, Yashi M, Izumi A, Ohwada M, Kuwata T, Usui R, Kuwata Y, Nakata M, Suzuki M.
    Journal: J Obstet Gynaecol Res; 2009 Apr; 35(2):359-63. PubMed ID: 19335801.
    Abstract:
    Cesarean hysterectomy for placenta previa percreta with bladder invasion often induces not only massive hemorrhage but also severe bladder/ureter injuries. A 37-year-old woman with previous cesarean delivery suffered placenta previa percreta with bladder invasion. At the 34th week, we performed cesarean hysterectomy. Without separating the bladder from the uterus/cervix, we incised the bladder lateral wall using an automatic stapling/cutting device, leaving the bladder posterior wall adhering to the uterus and resecting it with the uterus. The bladder was easily repaired without urological sequelae. We suggest a new, simple and safe technique for cesarean hysterectomy for this disease.
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