Handling aberrant vessels located in the posterior bladder wall in surgery for abnormally invasive placenta: a non/less-touch technique.

BACKGROUND

At cesarean hysterectomy for abnormally invasive placenta, rupture of aberrant vessels around the uterus causes massive bleeding.

PURPOSE: This study aimed at describing a technique to reduce bleeding from aberrant vessels at the posterior bladder wall in this surgery.

METHODS

The bladder is filled with 200-300 mL of water during handling the posterior bladder wall.

RESULTS

This technique facilitates understanding that some aberrant vessels do not have communications with the cervix-uterus. Some aberrant vessels have communication with the cervix-uterus and this technique makes cutting and ligation of these vessels easy.

CONCLUSIONS

Filling the bladder may reduce bleeding from the posterior bladder wall at cesarean hysterectomy for abnormally invasive placenta.