Document Detail


Determinants and complications of emergent cesarean hysterectomy: supracervical vs total hysterectomy.
MedLine Citation:
PMID:  20537305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We sought to determine whether emergent cesarean supracervical hysterectomy is associated with reduced risk of complications compared to total hysterectomy. STUDY DESIGN: We conducted a cohort study of 150 women who underwent emergent cesarean hysterectomy at our medical center from 1991 through 2008. We compared the risk factors and indications, and intraoperative and postoperative complications associated with the 2 surgical procedures. RESULTS: During the study period, a total of 164 cesarean hysterectomies were performed; 91% (n = 150) of these cases were performed emergently of which 53.3% were total and 46.7% were supracervical. There was a significant decline in the relative frequency of total hysterectomy: 71%, 56%, and 24% during 1991-1996, 1997-2002, and 2003-2008, respectively (P < .001). Risk factors, indications for surgery, operative variables, and postoperative complication rates were independent of the type of hysterectomy. CONCLUSION: Using a cohort of 150 cases from our institution, we found no evidence of increased surgical time or complications associated with total hysterectomy.
Authors:
Anthony N Imudia; Deslyn T G Hobson; Awoniyi O Awonuga; Michael P Diamond; Ray O Bahado-Singh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  203     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2010-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  221.e1-5     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, Wayne State University School of Medicine/Detroit Medical Center, Detroit, MI, USA. aimudia76@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Loss, Surgical / statistics & numerical data
Blood Transfusion / utilization
Cesarean Section*
Cohort Studies
Disseminated Intravascular Coagulation / epidemiology
Female
Fever / epidemiology
Hemoglobins / analysis
Humans
Hysterectomy / methods*,  statistics & numerical data
Intestines / injuries
Maternal Age
Postoperative Complications / epidemiology*
Pregnancy
Pregnancy Complications / surgery*
Reoperation / statistics & numerical data
Retrospective Studies
Time Factors
Urinary Tract / injuries
Chemical
Reg. No./Substance:
0/Hemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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