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radical management for a percreta with extensive invasion مشيمه مخترقه

radical management for a percreta with extensive invasion  مشيمه مخترقه 24 years old !!! Prv 2cs, percreta invading cx, broad way below the level of the ureteric tunnel on the right side..
My devascularization- Bladder prelast technique , delayed uterine vein ligation to drain the specimen blood,
Thanks to Allah
Estimated blood loss less than 500cc in the surgical field, another 800 ccs of blood drained from the pathology specimen outside the body
Intact bladder apart from shaved serosa , testing showed intact musculosa ..
Operative time 80 minutes
Assisting Dr Nihal demery md
Grab a hot drink , a pack o' biscuits and enjoy the clip 🌹🌹🌹

مخترقه

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