Analysis of 46 Hysterectomies Performed for Obstetric Indications

We analyzed retrospectively 52 cases of emergency peripartum hysterectomy that were performed at our clinic from January 1998 to December 2004. Fifty two patients of emergency peripartum hysterectomy were identified amoung 11098 deliveries.The mean age was 32.66±6.74, gravida 7.09±3.37, parity 6.12...

Full description

Bibliographic Details
Main Authors: Mahmut Erdemoğlu, Ahmet Kale, Nurten Akdeniz
Format: Article
Language:English
Published: Dicle University Medical School 2006-01-01
Series:Dicle Medical Journal
Subjects:
Online Access:http://4181.indexcopernicus.com/fulltxt.php?ICID=887912
Description
Summary:We analyzed retrospectively 52 cases of emergency peripartum hysterectomy that were performed at our clinic from January 1998 to December 2004. Fifty two patients of emergency peripartum hysterectomy were identified amoung 11098 deliveries.The mean age was 32.66±6.74, gravida 7.09±3.37, parity 6.12±3.11 , gestational weeks. 84.61% patients were underwent subtotal hysterectomy. The emergency peripartum hysterectomy was done 51.92% of the cases during cesarean section or later. The indications of hysterectomy were identified as (55.76%) uterine atony, uterine rupture (15.38%), pelviperitonitis and acute abdomen (9.61%), anormal placentation (15.38%), uterine myoma (1.92%), and cervical cancer (1.92%) respectively. The overall (23.07%) patients developed disseminated intravascular coagulopathy (DIC), two cases had ureter injury,one case had bladder injury. Bilateral hypogastric artery ligation were performed in 30.76% of the patients and relaparatomy was performed in 5 (9.61%) patients due to the intraabdominal hemorrhage. Maternal mortality occured in four cases.
ISSN:1300-2945
1308-9889