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Progress in the operation and blood losses. 1. The patient entered a operation room. 2. The preoperative occlusion balloons were placed in the bilateral internal iliac arteries by a radiologist. 3. We started the cesarean section. 4. 14:25 A male baby was born. The balloons in the bilateral internal iliac arteries were inflated, and we started the hysterectomy. 5. 15:00 A radiologist immediately transferred the balloon from the internal iliac artery to the common iliac artery. 6. 15:15 We restarted the hysterectomy. 7. We removed the uterus, and the balloons were deflated. 8. The operation finished.
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The transfer from IIABO to CIABO took 30 minutes, during which time, the amount of blood loss measured 5,910 ml (Figure 1).
The placenta had completely penetrated the left side of the uterine wall.
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The placenta had completely penetrated the left side of the uterine wall and we diagnosed the pregnancy as placenta percreta (Figure 2).