Extended Hysterectomy for Selected Cases of Placenta Accreta

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.