Bleeding control and posterior vaginal fornix approach for cesarean hysterectomy in placenta accreta spectrum.

ABSTRACT:

Objective

Placenta accreta spectrum (PAS) is a leading cause of massive obstetric hemorrhage, particularly when the placenta is removed or unintentionally disrupted during cesarean hysterectomy. In this video, we demonstrate an alternative surgical approach via the posterior vaginal fornix for performing cesarean hysterectomy in patients with PAS.

Methods

A cesarean hysterectomy for a case of placenta percreta was performed using the posterior vaginal fornix approach. This technique focuses on avoiding bleeding due to placental disruption and preventing urinary bladder injury.

Results

We summarize the steps of the procedure, including ligation of the vascular pedicles, entry into the retroperitoneal space to identify vital structures and control bleeding, dissection a

SUBMITTER: Atjimakul T 

PROVIDER: S-EPMC12301555 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature