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  • Title: Augmentation cystoplasty after cesarean hysterectomy for placenta previa-percreta.
    Author: Bakri YN, Sundin T, Mansi M, Petterson B.
    Journal: S D J Med; 1995 Apr; 48(4):121-3. PubMed ID: 7747172.
    Abstract:
    We report a case of a 38-year old woman with placenta previa-percreta and urinary bladder invasion. Resection of the bladder wall during cesarean hysterectomy was complicated by a postoperative vesico-vaginal fistula and small-capacity bladder. A reconstructive augmentation cystoplasty utilizing the ileum was successful in improving the bladder capacity. To our knowledge, this is the first report of a placenta previa-percreta with bladder wall invasion which required reconstructive augmentation cystoplasty after cesarean hysterectomy. The obstetrician-gynecologist should be aware of reports of complications related to augmentation procedures, including late malignancy which may develop in the bowel segment used for cystoplasty.
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