Dehiscence of Uterine Hysteroraphy After Caesarian Section Associated with Secondary Anemia, Subaponevrotic Hematoma or Dehiscence of Skin Wound

Abstract

Introduction: The incidence of cesarean section has increased significantly in recent years. The study is retrospective and observational, over a period of 5 years (From April 2017 to April 2022). The present paper aims to show the correlation between the dehiscence of the hysteroraphic tranche, with anemia, the postoperative hematoma or the dehiscence of the skin wound in the postoperative period. Working method: This study was performed on a group of 5562 patients who gave birth by caesarean section, and found 4 patients who met the inclusion criteria. The inclusion criteria were secondary anemia, subaponevrotic haematoma or cutaneous wound dehiscence, associated with uterine dehiscence, followed by hysterectomy. Results: Patients with uterine wound dehiscence had subaponevrotic hematoma in all cases (100%) and only one patient had an association between a supraaponevrotic hematoma and a subaponevrotic hematoma (11%). From the perspective of cutaneous wound dehiscence, of the nine patients included in the study, only one patient (11%) presented wound dehiscence after hysterectomy. This patient did not need suturing of the wound, being treated conservatively. Conclusions: Out of the studied group of 5562 patients, 16 patients developed subaponevrotic haematomas, 4 of them developing uterine histeroraphy dehiscence and requiring a hysterectomy, with an incidence of 25%.