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                                       Details van artikel 4 van 14 gevonden artikelen
 
 
  Emergency peripartum hysterectomy
 
 
Titel: Emergency peripartum hysterectomy
Auteur: Mehmet Sıddık Evsen
M. Erdal Sak
Özgür Özkul
Yaşar Bozkurt
Murat Kapan
Verschenen in: Dicle medical journal
Paginering: Jaargang 36 (2009) nr. 1 pagina's 23-27
Jaar: 2009
Inhoud: The aim of the present study was to determine the incidence, indications and maternal characteristics of emergency peripartum hysterectomy (EPH).Medical records belong to 49 patients, that undergone EPH at Diyarbakır Gynecology and Obstetrics Hospital, between September 2005 and August 2008 were retrospectively reviewed. During three years, from 63463 deliveries, hysterectomy was performed to 49 patients (0.77/1000) due to obstetrical hemorrhage. Indications for EPH were uterine atony (49.6%), uterine rupture (42.9%) and placenta accreata (8.2%). The mean age of patients was 34.6±5.7 years, and mean gravida was 5.5±2.4. Subtotal hysterectomy was performed to 31 (63.3%) patients and total hysterectomy to 18 (36.7%) of them. Bilateral hypogastric artery ligation was performed to 8 (16.3%) and unilateral ooferectomy to 7 (14.3%). Two of our patients died secondary to uncontrolled uterine bleeding.In conclusion, uterine atony and uterine rupture were the most frequent causes of EPH. Emergent and appropriate management of these patients is the most important life saving procedure.
Uitgever: Dicle University Medical School (provided by DOAJ)
Bronbestand: Elektronische Wetenschappelijke Tijdschriften
 
 

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