The Surgical Steps of the SAC Technique
Supplementary material for the journal article by Soleymani majd, H. et al
The modified radical peri-partum caesarean hysterectomy (Soleymani Alazzam Collins (SAC) technique): a systematic, safe procedure for the management of severe placenta accreta spectrum (PAS)
American Journal of Obstetrics and Gynecology (2021): in press.
(Contains graphic surgical images caution advised)
Step 1: Informed Consent
Step 1: Informed Consent
Step 3: Anaesthetic Considerations
Step 3: Anaesthetic Considerations
Step 4: Patient positioning
Step 4: Patient positioning
Step 5: Vaginal Preparation
Step 5: Vaginal Preparation
Step 6: Abdominal entry
Step 6: Abdominal entry
Step 10: Use of uterotonics
Step 10: Use of uterotonics
Step 13: Closure of Hysterotomy
Step 13: Closure of Hysterotomy
Step 14: Maximising surgical access
Step 14: Maximising surgical access
Step 19: Opportunistic salpingectomy
Step 19: Opportunistic salpingectomy
Step 22: Anterior colpotomy
Step 22: Anterior colpotomy
Step 23: Vault closure
Step 23: Vault closure
Step 25: Abdominal closure
Step 25: Abdominal closure