| Determinants and complications of emergent cesarean hysterectomy: supracervical vs total hysterectomy. | |
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MedLine Citation:
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PMID: 20537305 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Anthony N Imudia; Deslyn T G Hobson; Awoniyi O Awonuga; Michael P Diamond; Ray O Bahado-Singh |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 203 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-06 Completed Date: 2010-09-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 221.e1-5 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2010 Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Wayne State University School of Medicine/Detroit Medical Center, Detroit, MI, USA. aimudia76@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Hemoglobins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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