In reply

We would like to thank Dr. Matsubara, who is a renowned obstetric surgeon, for his valuable contributions. We totally agree with his comments. There is an increasing trend in cesarean rates throughout the world and the need for better approaches for this challenging surgery is evident.

• References

• 1 Özcan HÇ, Balat Ö, Uğur MG. et al. Use of Bladder Filling to Prevent Urinary System Complications in the Management of Placenta Percreta: a Randomized Prospective Study. Geburtsh Frauenheilk 2018; 78: 173-178
• 2 Matsubara S, Takahashi H, Baba Y. Handling aberrant vessels located in the posterior bladder wall in surgery for abnormally invasive placenta: a non/less-touch technique. Arch Gynecol Obstet 2017; 296: 851-853
• 3 Dursun P. Use of bulldog vascular clamps to reduce intraoperative bleeding during cesarean hysterectomy for placenta percreta. Int J Gynaecol Obstet 2018; 140: 379-380