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

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Abstract

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.

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Abbreviations

AIP:

Abnormally invasive placenta

References

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan

    Shigeki Matsubara, Hironori Takahashi & Yosuke Baba

Authors
  1. Shigeki Matsubara
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  2. Hironori Takahashi
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  3. Yosuke Baba
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Contributions

Shigeki Matsubara, Hironori Takahashi, and Yosuke Baba identified the significance, and wrote and edited the manuscript.

Corresponding author

Correspondence to Shigeki Matsubara.

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Conflict of interest

Shigeki Matsubara, Hironori Takahashi, and Yosuke Baba declare that they have no conflict of interest.

Human rights

This article does not contain any studies with human participants or animals performed by Shigeki Matsubara, Hironori Takahashi, or Yosuke Baba.

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Matsubara, S., Takahashi, H. & Baba, Y. Handling aberrant vessels located in the posterior bladder wall in surgery for abnormally invasive placenta: a non/less-touch technique. Arch Gynecol Obstet 296, 851–853 (2017). https://doi.org/10.1007/s00404-017-4498-2

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  • DOI: https://doi.org/10.1007/s00404-017-4498-2

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