Transverse uterine fundal incision for placenta previa accreta in the anterior wall

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We developed an operative technique using a transverse uterine fundal incision to deliver infants in cases of placenta previa in the anterior uterine wall, with possible placenta accreta. This operative method overcomes the drawbacks associated with previous operative methods : fetal bleeding resulting from placental incision and blind manual removal of the placenta. This technique offers the following benefits. 1) The fetus can be delivered without any stress because incision into the placenta can be avoided perfectly. In addition, delivery from the apex of the highest part(usually breech) is both safe and simple. 2) The uterine cavity interior is visible and the trial of the placental removal can be done in full vision of the operator. 3) Throughout the procedure, bleeding from the myometrial wound can be stopped. 4) The uterine-wall incision can be extended without adding a cross section to the myometrium if the view of the uterine cavity is narrow. 5) The bleeding point from the placental bed is directly apparent. For that reason, precise hemostasis is possible. This operative method is much safer for mother and fetus and less stressful for operator than previously reported operative methods.