Extended Hysterectomy for Selected Cases of Placenta Accreta

Mitchel S. Hoffman, Valerie E. Whiteman, Stephen H. Bush, Lawrence D. Devoe

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Objective: The aim of this article is to describe a hysterectomy technique for managing selected difficult cases of placenta accreta. Background: Cesarean hysterectomy for placenta accreta is associated with a significant amount of maternal morbidity. Intraoperative hemorrhage and urinary-tract injury are some of the more-frequent complications encountered. Most women with placenta accreta have undergone at least one prior cesarean delivery, increasing the risk of adhesions and scar tissue. Results and Conclusions: The current authors' technique for an extended hysterectomy in selected high-risk cases of placenta accreta/percreta is designed to reduce the risk of hemorrhage and urinary tract injuries.

Original languageEnglish (US)
Pages (from-to)133-137
Number of pages5
JournalJournal of Gynecologic Surgery
Issue number3
StatePublished - Jun 2018
Externally publishedYes


  • accreta
  • accreta protocol
  • hysterectomy

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology


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