Peripartum Hysterectomy: A Review of 70 Cases

Sharma, Rohini; Shaheen,; Pathak, Jayshree

doi:10.5005/jp-journals-10006-1022

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…2,[8][9][10][11][12][13][14][15][16][17][18] In this study, 26-30 years is the age group having highest frequency of the emergency obstetric hysterectomy, the obvious reason is the more frequency of pregnancy in the age group. 62% (28 out of 45) cases were multigravida; uterine injury because of previous pregnancies, low haemoglobin level and repeated caesarean section are aggregating factors making multigravida vulnerable for obstetric hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

Complications of emergency obstetric hysterectomy in Gujarat, India

Chauhan¹,

Patel²

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Emergency obstetric hysterectomy is defined as extirpation of uterus either at the time of cesarean section or following vaginal delivery, or within the puerperium to stop life threatening obstetric hemorrhage when all other measures fail. This study was conducted to study complications of emergency obstetric hysterectomy.Methods: Out of 28552 patients, 45 patients operated for Emergency obstetric hysterectomy in Vadilal Sarabhai Hospital of Ahmedabad, Gujarat; during May 2010 to October 2012 were included in the study. Complications of the procedures were identified and analyzed.Results: Hemorrhagic shock was the most common complication followed by fever. 15.55% (7 out 45) mothers were not saved even after the emergency obstetric hysterectomy.Conclusions: Improvising procedural skill and post-operative care can reduce the complications of emergency obstetric hysterectomy.

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Section: Discussionmentioning

confidence: 99%

Complications of emergency obstetric hysterectomy in Gujarat, India

Chauhan¹,

Patel²

2017

Int J Reprod Contracept Obstet Gynecol

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“…Despite the low risk of perioperative complications in healthy patients, historically several tests performed before elective procedures became routine all over the world in the second half of the XX century 12,13 . however, solicitation of a battery of exams for all patients did not bring many useful information and it did not increase the rate of adverse events, besides showing several false-positive results 12,14 .…”

Section: Discussionmentioning

confidence: 99%

Avaliação pré-anestésica e redução dos custos do preparo pré-operatório

Issa

Isoni

Soares

et al. 2011

Rev. Bras. Anestesiol.

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Summary: issa MRn, isoni nfc, Soares AM, fernandes Ml -Preanesthesia evaluation and Reduction of Preoperative care costs.Background and objectives: Preanesthesia evaluation (PAe) is fundamental in the preparation of a surgical patient. Among its advantages is the reduction of preoperative care costs. Although prior studies had observed this benefit, it is not clear whether it can be taken into consideration among us. the objective of the present study was to compare the costs of preoperative care performed by the surgeon with estimated costs based on PAe. in parallel, we compared the American Society of Anesthesiologists (ASA) physical status classification determined by the anesthesiologist with that estimated by other specialists.

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“…3%, and the cause of death was related to complications like shock, septicemia and disseminated intravascular coagulation. 13,17,27 …”

Section: 12mentioning

confidence: 99%

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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Peripartum Hysterectomy: A Review of 70 Cases

Cited by 4 publications

References 4 publications

Complications of emergency obstetric hysterectomy in Gujarat, India

Complications of emergency obstetric hysterectomy in Gujarat, India

Avaliação pré-anestésica e redução dos custos do preparo pré-operatório

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

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