Emergency hysterectomy in modern obstetric practice Changing clinical perspective in time

Zorlu, C. Gürkan; Turan, Cem; Işık, Ahmet Zeki; Danışman, Nuri; Mungan, Tamer; Gökmen, Oya

doi:10.1034/j.1600-0412.1998.770211.x

Cited by 56 publications

(54 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Twenty-eight (19.8%) of our patients had complications and this compares well with other studies 5,8 . The incidence of morbidity is influenced by many factors including the indication for surgery and the use of perioperative antibiotics.…”

Section: Figure 1 Parity Of Patientssupporting

confidence: 78%

“…The maternal mortality of 12.9% is high compared to the 0% and 4.5% reported in other studies 3,8 . Uterine atony and ruptured uterus accounted for 13 (59%) and 6 (27.2%) of the deaths, respectively.…”

Section: Figure 1 Parity Of Patientsmentioning

confidence: 56%

“…Atonic postpartum haemorrhage followed by ruptured uterus was noted by Nasrat 6 . The indications for peripartum hysterectomy in some countries have changed over the years to reflect the improvement in obstetric care; in these countries uterine rupture has been eliminated completely from the list of indications 8 .…”

Section: Figure 1 Parity Of Patientsmentioning

confidence: 99%

See 2 more Smart Citations

Peripartum hysterectomies at the korle-bu teaching hospital: a review of 182 consecutive cases

Kwame-Aryee

Kwakye²,

Seffah³

2010

Ghana Medical Journal

View full text Add to dashboard Cite

Section: Figure 1 Parity Of Patientssupporting

confidence: 78%

Section: Figure 1 Parity Of Patientsmentioning

confidence: 56%

See 1 more Smart Citation

Peripartum hysterectomies at the korle-bu teaching hospital: a review of 182 consecutive cases

Kwame-Aryee

Kwakye²,

Seffah³

2010

Ghana Medical Journal

View full text Add to dashboard Cite

“…There was one maternal death (7.7%) in our study. Lower rates of 4 and 4.5% were cited by Kwee et al and Zorlu et al and much higher rates of 20 and 23.8% were found by Hamsho and Alsakka and Umezurike et al [2,[29][30][31]. Our low mortality rate may be related to a high rate of antenatal followup and an optimal obstetric intervention in the cases of EPH in our department.…”

mentioning

confidence: 57%

Emergency Peripartum Hysterectomy: A 10-Year Review

Carvalho

Cubal

Torres

et al. 2012

ISRN Emergency Medicine

View full text Add to dashboard Cite

Background. Emergency peripartum hysterectomy (EPH), although rare in modern obstetrics, remains a life-saving procedure in cases of severe hemorrhage. Purpose. To determine the incidence, risk factors, indications, outcomes, and complications of EPH performed in a tertiary teaching hospital and to compare the results with other reports in the literature. Methods. The medical records of 13 patients who had undergone EPH, between January 2000 and December 2010, were reviewed retrospectively. Maternal characteristics and characteristics of the present pregnancy and delivery, hysterectomy indications, operative complications, postoperative conditions, and maternal and neonatal outcomes were evaluated. Results. There were 13 EPHs out of 31.767 deliveries, a rate of 0.41 per 1,000 deliveries. Eight hysterectomies were performed after cesarean delivery and five after vaginal delivery. The most common indication for hysterectomy was uterine atony (10/13), followed by placenta previa (2/13). There were one case of intraoperative bladder injury and one case of relaparotomy because of hemoperitoneum. We had one maternal death because of septic shock. There were no cases of neonatal morbidity and mortality. Conclusion. Postpartum hemorrhage is one of the leading causes of maternal mortality and morbidity and represents the most challenging complication that an obstetrician will face. IntroductionEmergency peripartum hysterectomy (EPH) is an uncommon obstetric procedure, usually performed as a life-saving measure in cases of intractable obstetric hemorrhage. [1][2][3] It was first proposed in 1869 but with no desirable results [4]. However, seven years later (1876), the first cesarean subtotal hysterectomy was carried out successfully, with the result that both the mother and the baby survived [5]. In modern obstetrics, the overall incidence of EPH is 0.05%, but there are considerable differences in incidence in different parts of the world, depending on modern obstetric services, standards and awareness of antenatal care, and the effectiveness of family planning activities of a given community [6]. The incidence of peripartum hysterectomy in the literature is reported as 0.24, 0.77, 2.3, and 5.09 per 1,000 deliveries by Sakse et al. [7], Whiteman et al. [8], Bai et al. [9] and Zeteroglu et al. [10], respectively. However, there is a lack of Portuguese data on EPH. To our knowledge, there is no Portuguese information on EPH.Severe postpartum hemorrhage was reported to occur in 6.7/1,000 deliveries worldwide. It is one of the leading causes of maternal mortality and morbidity and represents the most challenging complication that an obstetrician will face [11]. The main causes of the uncontrollable hemorrhage necessitating an EPH have changed since the 1980s [2]. Uterine atony and rupture have been overtaken by abnormal placentation in many studies. This is not only because of improved conservative management of uterine atony and a reduced incidence of uterine rupture due to the extensive use of the lower uterine segment inci...

show abstract

“…Thus, a highly risky picture is generated, threatening obstetric and neonatal outcomes. Several authorities have observed this phenomenon of placental accretism, and all of them agree in reporting an increase of OH incidences and its causes [1][2][3][4][5][6]. Apparently, the high frequency of abdominal cesarean section, and especially, its reiteration in the same patient, could cause changes in the myometrium and decidua which generate prenatal visits or without them between both groups (Chi square, P = 0.894), with an average of 4.63 ± 2.57 prenatal visits in HG patients.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2017

MOJS

View full text Add to dashboard Cite

Emergency hysterectomy in modern obstetric practice Changing clinical perspective in time

Cited by 56 publications

References 11 publications

Peripartum hysterectomies at the korle-bu teaching hospital: a review of 182 consecutive cases

Peripartum hysterectomies at the korle-bu teaching hospital: a review of 182 consecutive cases

Emergency Peripartum Hysterectomy: A 10-Year Review

Untitled

Contact Info

Product

Resources

About