Abstract
Study Objective Placenta accreta is a known, life-threatening obstetric complication. In this video, we present key steps to performing a laparoscopic hysterectomy for management of placenta accreta in the second trimester Design This video details specific surgical techniques that may aid in reducing complications when performing a hysterectomy on a gravid uterus. Setting The operative room at a major academic center. Patients or Participants Two female patients were identified to have placenta accreta in the second trimester. Both were extensively counseled regarding their risks and their options. Both opted for termination of pregnancy with a total laparoscopic hysterectomy. Interventions Two hysterectomies were performed in the operating suite through laparoscopic techniques only. The surgeries were performed with three-5mm laparoscopic trocars and a 5-mm endoscope. Specimens were removed from the vagina. Measurements and Main Results No complications were encountered during both hysterectomies. Both patients had same-day discharge, and pathology confirmed the presence of placenta accreta. Conclusion This video highlights a surgical option for the management of placenta accreta diagnosed in the second trimester. Patients can be offered a minimally invasive approach to an otherwise life-threatening condition.
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