treatment (manual removal of placenta).
When all conventional and invasive options have been exhausted, and HC persists, the urologist can turn to extirpative
surgery to remove the source of HC.
This patient's sarcomatoid carcinoma, age, and gender highlight the importance of considering the risks and benefits of disease recurrence versus subsequent fertility, particularly when assessing the aggressive nature of this tumor and benefits of radical extirpative
Conservative Versus Extirpative
Management in Cases of Placenta Accreta.
Advantages of En Bloc Hilar Ligation During Laparoscopic Extirpative
Cabrol, "Conservative versus extirpative
management in cases of placenta accreta," Obstetrics & Gynecology, vol.
Such procedures were limited in their accuracy in that they required assessment of two-dimensional imaging prior to surgery and performing extirpative
procedures with little intraoperative guidance.
surgery (hysterectomy) is performed for placenta accreta in the lower segment, the technical difficulty associated to total instead of subtotal hysterectomy might result in urologic and hemostasis complications.
Still, only a few extirpative
procedures were being performed via a laparoscope route.
surgery through an infraumbilical midline incision was scheduled.
This task force, under the leadership of AUGS, believes that CMS and NCCI do not fully understand the complexity of vaginal reconstruction performed for advanced pelvic organ prolapse, or the fact that vaginal hysterectomy is an extirpative
procedure that often is required to facilitate the more time-consuming reconstructive procedures.
Furthermore, Weight et al (15) demonstrated in their large study of patients with renal masses who had undergone extirpative
surgery, partial nephrectomy or radical nephrectomy, that partial nephrectomy offers cancer specific survival equivalent to that of radical nephrectomy and is technically feasible in at least 50% of patients with cT1b tumors.