Cesarean and postpartum hysterectomy

Chanrachakul, Boonsri; Chaturachinda, K; Phuapradit, Winit; Roungsipragarn, Rasig

doi:10.1016/0020-7292(96)02692-6

Cited by 39 publications

(35 citation statements)

References 9 publications

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“…4,18,19 However, it is often delayed, as it is perceived as a difficult procedure at caesarean delivery. Additionally, the high complication rate may be significant.…”

Section: Managementmentioning

confidence: 99%

“…Additionally, the high complication rate may be significant. 19,20 As this operative procedure terminates the woman's fertility, its performance may have devastating psychological consequences. In the vast majority of haemorrhage secondary to placenta accreta, there is little doubt that hysterectomy is the appropriate management, regardless of other factors.…”

Section: Managementmentioning

confidence: 99%

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Clinical aspects and conservative management of placenta accreta

Armstrong

Harding

Dickinson

2004

The Obstetric & Gynaecologis

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Placenta accreta is a rare complication of human placentation with fertility and life‐threatening sequelae. Traditional management has centred upon hysterectomy and its prompt undertaking has been well documented in saving lives. While in many situations hysterectomy will remain appropriate, there are other management options available involving conservative approaches. This article reviews the diagnosis and demographics of this potentially frightening pathology and highlights the important aspects of conservative management if hysterectomy is to be avoided.

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“…4,18,19 However, it is often delayed, as it is perceived as a difficult procedure at caesarean delivery. Additionally, the high complication rate may be significant.…”

Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Clinical aspects and conservative management of placenta accreta

Armstrong

Harding

Dickinson

2004

The Obstetric & Gynaecologis

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“…However, proponents of subtotal hysterectomy report lesser blood loss, reduced operating time and reduced intra and postoperative complications. 25 Ironically, in the present study, there was a higher incidence of intraoperative and postoperative complications in the subtotal hysterectomy group which may be explained by the fact that it was carried out in moribund patients to reduce the operative time. The final decision to perform subtotal or total hysterectomy should be influenced by patient's condition.…”

Section: 12mentioning

confidence: 54%

Study of maternal outcome in emergency peripartum hysterectomy at a tertiary hospital

Varalakshmi

Radha

Choudhary

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Emergency peripartum hysterectomy is an indispensable part of the obstetricians' armamentarium. In no other gynecological or obstetrical surgery, is the surgeon in as much a dilemma as when deciding to resort to an emergency hysterectomy. On one hand, it is the last resort to save a woman's life and on the other hand, her reproductive capability is sacrificed. Many times, it is a very difficult decision and requires good clinical judgment. Objective of present study was to study the cases of emergency peripartum hysterectomy performed in tertiary care center to estimate the incidence, indications, and maternal outcome following the procedure. Methods: All cases of peripartum emergency hysterectomy that were performed in our hospital from January 2015 to June 2016 were reviewed and evaluated in terms of the incidence, indications, and the associated complications. Results: During the study period there were 28 emergency peripartum hysterectomies out of 28215 deliveries giving an incidence of 0.10%. rupture uterus was the Commonest indication contributing to 13 cases. Septicemia was the common post operative complication associated. There were 4 maternal deaths in our study. Conclusions: Emergency peripartum hysterectomy though a rare operation, still remains a life-saving procedure with which every obstetrician must be conversant. regular antenatal care, identification of high-risk cases, and prompt referral can reduce the incidence of this operation. Peripartum hysterectomy will always remain an essential life saving surgery for the mother at cost of their uterus and when performed in indicated cases at right time will help in bringing down maternal mortality.

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“…The literature suggests a total hysterectomy is a preferable [16]. The reality of matter it is very difficult in these cases to know for sure whether cervix is removed or not especially in cases of full dilatation.…”

Section: Total or Subtotal Hysterectomymentioning

confidence: 99%

Caesarean Hysterectomy: Here to Stay or a Thing of the Past?

Nakash¹,

Hamdan²

2013

Gynecol Obstet (Sunnyvale)

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In this review article we are reflecting on the subject of caesarean hysterectomy. The importance of this operation comes from the fact that postpartum bleeding remains number one killer of pregnant women in large parts of the world. One of the most difficult decisions an obstetrician has to make is when he/she decides to go for caesarean hysterectomy. As we will know from the article below the procedure itself is not free of risk, in fact there is high incidence of different morbidities in addition to the fact that most of these patients are haemodynamic ally unstable and very high anaesthetic risk. We hope that the future can bring about many improvements in the effectiveness of current management techniques which would lead to a much reduced need to the more drastic measures like caesarean hysterectomy.

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Cesarean and postpartum hysterectomy

Abstract: Cesarean and postpartum hysterectomy is a necessary life-saving operation. Although maternal mortality is rare, morbidity remains high. Prevention of complications that give rise to hysterectomy and optimally timed surgery should decrease maternal morbidity and mortality.

Cited by 39 publications

References 9 publications

Clinical aspects and conservative management of placenta accreta

Clinical aspects and conservative management of placenta accreta

Study of maternal outcome in emergency peripartum hysterectomy at a tertiary hospital

Caesarean Hysterectomy: Here to Stay or a Thing of the Past?

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