A 10 year review of cesarean hysterectomy

OʼLeary, James L.; Steer, Charles M.

doi:10.1016/0002-9378(64)90484-3

Cited by 11 publications

(2 citation statements)

References 17 publications

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“…The present study identifies uterine atony as the most common cause of PPH and that was the observation of other authors [7,13]. Failure of HAL was more with uterine atony (50%) than in other situations, e.g.…”

Section: Discussionsupporting

confidence: 90%

Surgical control of obstetric hemorrhage: hypogastric artery ligation or hysterectomy?

Chattopadhyay

Roy

Edrees

1990

Intl J Gynecology & Obste

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Sixty-four patients with severe postpartum hemorrhage (PPH) required surgical intervention during the years 1983 to 1987. Bilateral hypogastric artery ligation (HAL) was the initial surgical approach in 45% (29/64) and hysterectomy in 55% (35/64). HAL successfully controlled hemorrhage in 65% (19/29), and failed in 35% (10/29) where hysterectomy was required as a life saving procedure. Failure of HAL was more evident in atonic PPH than in other situations. Complications were more following hysterectomy; six (6/45) patients required re-exploration for intraperitoneal hemorrhage and two (2/45) patients died following hysterectomy. HAL was found to be a relatively easy, safe and successful procedure to be attempted as an initial surgical approach for all severe PPH, specially where uterine conservation was desired.

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