Bladder dissection for cesarean hysterectomy in case of severe placenta percreta: tips and tricks

Abstract

Objective: In this article, we report a severe case of placenta percreta in order to present our surgical approach for bladder dissection in a pregnancy with placenta accreta spectrum (PAS). Case(s): Bladder dissection was performed using bipolar forceps and bipolar scissors and with a meticulous lateral-to-medial dissection on each side. Conclusion: We recommend electrodissection of the bladder using bipolar forceps. Bipolar device may indeed help in the hemostasis of the placenta vessels while performing the bladder dissection.