Caption: In this case of placenta percreta, delayed hysterectomy was planned because of the degree of invasion (a), which was demonstrated by ultrasound (b) and MRI (c).The neonate was delivered through a fundai classical incision
and the placenta was left in situ.
Always use the classical incision
and techniques unless you are very much experienced.
Obstetricians have to be skillful with accurate techniques of vaginal breech assistance and breech extraction because such techniques are also appropriate to deliver a baby during cesarean section by using the right technique which can facilitate delivery and avoid injuries to the baby, moreover a ready to use uterine relaxing agent should be available in the operating room in order that it can be promptly used when abnormal uterine contraction causing fetal entrapment and prevent unnecessary incisions like inverted T or low midline "classical incision
" in a women who needs further pregnancy, as this incisions have its own complications in future pregnancies.
The abdomen was approached through a midline incision and the uterus was opened with a fundal classical incision
. The fetus was delivered from a vertex presentation by breech extraction.
, T shaped incision or lower segment vertical incision.