An exceptionally risky placenta accreta spectrum case

Prv 8 laparotomy , 4 cs , 1 hysterotomy
2 explorations for massive internal hge postpartum after her last 2 csections 🤦‍♂️
Prev 3 cerebrovascular stroke on therapeutic dose enoxparin 🤦‍♂️🤦‍♂️🤦‍♂️
History of recurrent attacks of dyspnea 🤦‍♂️🤦‍♂️🤦‍♂️🤦‍♂️🤦‍♂️🤦‍♂️🤦‍♂️
Radical management
My bladder last technique
The bowel was adherent to IP ligament,
had to dissect it ,
the retroperitonial structures were amalgamated with extensive neo-vascularization , didn't do much dissection , the only mis hap was a teared left uterine vein below the clamp from unjudicious traction, repaired with simple ligation..
Operative time 65 minutes till abdomen closure
Elhamdolellah , almost half the time was needed just to expose the upper part of placenta !!
2 packs of towels used
Bladder intact elhamdolellah
No blood transfusion
Resumed full anticoagulantion
Enjoy watching 🌹🌹🌹
الفيديو تقريبا كامل ما عدا ربطه ال left uterine vein

spectrum