Objective: Surgical management of Placenta accreta spectrum (PAS) is associated with profuse bleeding and increased risk of operative injury to the adherent pelvic structures. We propose using a novel aorta clamp that can occlude the abdominal aorta without retroperitoneal dissection, thereby making it easy for an obstetriciangynecologist to use it. The novel Paily aorta clamp (PAC) is applied just above the bifurcation of the abdominal aorta.
Methods:This was a retrospective study of 33 women with varying grades of histopathology-confirmed PAS, who were managed as an elective or emergency procedure in a tertiary center in India.
A nonpuerperal uterine inversion is a rare occurrence clinically. It is usually associated with uterine fibroids or tumors. We report a case of 47 years old nulliparous women who presented with sudden onset of severe abdominal pain and heavy vaginal bleeding. Speculum examination revealed a 6 cm bleeding mass presenting in the vagina. The case was managed by performing hysterectomy using combined laparoscopic and vaginal routes.
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