Obstetric hysterectomy--analysis of indications in years 1992-2001
Welfel, J.; Gottwald, L.; Struzycki, K.; Kowalczyk-Amico, K.; Surkont, G.; Lech, W.; Bieńkiewicz, A.; Kowalski, A.; Suzin, J.
Ginekologia polska 75(7): 514-517
2004
ISSN/ISBN: 0017-0011 PMID: 15517769 Document Number: 567321
Analysis of indications and post-operative course in patients after obstetric hysterectomy. 45 cases of obstetric hysterectomy were analysed. Mean age of operated woman was 32.18 +/- 4.31 years. Mean gestational age was 35.9 +/- 1.76 weeks. The estimated rate of obstetric hysterectomy was 2.5 per 1000 deliveries. The most frequent indication for urgent hysterectomy were placentation disorders. Elective hysterectomy was performed because o invasive cervical cancer and uterine myomas. Mean time of duration of surgery was 91.67 min. 1. Indications for obstetric hysterectomy should be stated very carefully and the operation should be performed by the most experienced staff. 2. In case of severe intraoperative bleeding internal iliac artery ligation should be performed.