Laparoscopic management of placenta percreta.

The incidence of abnormal placentation is increasing as a result of the rise in the cesarean delivery rate. Management of placenta percreta involving the urinary bladder often requires extensive surgery including bladder resection. A 27-year-old woman with placenta previa percreta that invaded the urinary bladder underwent delayed total laparoscopic hysterectomy performed after the portion of the placenta invading the bladder had regressed. This approach decreased blood loss associated with immediate resection and preserved the bladder intact. To our knowledge, this is the first report of a minimally invasive approach to placenta percreta involving the bladder.