A 39 years-old-female presented at the CK Birla Hospital. The patient had normal vaginal delivery 15 days back at a reputed hospital in south Delhi. She had a history of caesarean section in her first pregnancy and had multiple episodes of heavy bleeding (Postpartum Haemorrhage) since her delivery & now was severely anaemic despite receiving blood transfusion.
The patient was prescribed detailed investigations including blood tests and ultrasound. After evaluation it was found that the bleeding was caused by retained tissue of placenta. This can be a serious issue if not treated promptly.
Dr Tripti Raheja immediately decided to perform a minimally invasive procedure using both laparoscopy and hysteroscopy, which allowed her to look both inside the uterus and inside the abdomen to assess the situation. During the procedure, She discovered that the right half of the scar from her previous caesarean section was ruptured and placental tissue was adherent to the inner wall of the uterus in the surrounding area.
Using the guidance from laparoscopy, She performed a suction and evacuation to remove the remaining tissue safely. Afterward, the ruptured caesarean scar was also stitched laparoscopically. The patient recovered well after the procedure.
This case highlights the importance of timely intervention and the use of advanced Minimally Invasive Techniques (MIS) like Laparoscopy & Hysteroscopy for better outcomes in postpartum complications without the need of an extensive laparotomy.