Emergency Obstetric Hysterectomies for Postpartum Haemorrhage
Objective: To review emergency obstetric hysterectomy in our unit, including the indications for and morbidity associated with the procedure Design: A retrospective cases analysis. Subjects and methods: Records of obstetric patients who had undergone emergency hysterectomies in between 15 October 19...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 1999-12, Vol.25 (6), p.425-430 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Wong, Wai-Chung Kun, Ka-Yan Tai, Chark-Man |
| description | Objective: To review emergency obstetric hysterectomy in our unit, including the indications for and morbidity associated with the procedure
Design: A retrospective cases analysis.
Subjects and methods: Records of obstetric patients who had undergone emergency hysterectomies in between 15 October 1993 and 31 December 1997 were reviewed retrospectively.
Results: There were 15,474 deliveries and 7 emergency obstetric hysterectomies. All cases had total abdominal hysterectomy. The indications for hysterectomy were uterine atony and placental disorders. There were one case of urinary bladder injury and 2 cases of disseminated intravascular coagulopathy. There was no maternal mortality.
Conclusion: Emergency obstetric hysterectomy remains a potentially life‐saving procedure in unavoidable catastrophe. The 7 patients with life threatening postpartum haemorrhage underwent hysterectomy after failure of conservative measures. The morbidity is low and there was no mortality in this series. |
| doi_str_mv | 10.1111/j.1447-0756.1999.tb01188.x |
| format | Article |
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Design: A retrospective cases analysis.
Subjects and methods: Records of obstetric patients who had undergone emergency hysterectomies in between 15 October 1993 and 31 December 1997 were reviewed retrospectively.
Results: There were 15,474 deliveries and 7 emergency obstetric hysterectomies. All cases had total abdominal hysterectomy. The indications for hysterectomy were uterine atony and placental disorders. There were one case of urinary bladder injury and 2 cases of disseminated intravascular coagulopathy. There was no maternal mortality.
Conclusion: Emergency obstetric hysterectomy remains a potentially life‐saving procedure in unavoidable catastrophe. The 7 patients with life threatening postpartum haemorrhage underwent hysterectomy after failure of conservative measures. The morbidity is low and there was no mortality in this series.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.1999.tb01188.x</identifier><identifier>PMID: 10680341</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; complication ; Emergencies ; emergency ; Emergency Treatment ; Female ; Hong Kong - epidemiology ; Humans ; Hysterectomy - statistics & numerical data ; indications ; Medical Records ; Morbidity ; obstetric hysterectomy ; Postoperative Complications - epidemiology ; Postpartum Hemorrhage - epidemiology ; Postpartum Hemorrhage - surgery ; Pregnancy ; Pregnancy Complications - epidemiology ; Retrospective Studies</subject><ispartof>The journal of obstetrics and gynaecology research, 1999-12, Vol.25 (6), p.425-430</ispartof><rights>1999 Japan Society of Obstetrics and Gynecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-f25f1e6d81a7945cd59781432c0e73c0755a7f7d3907f3152e1173dc51a25ed33</citedby><cites>FETCH-LOGICAL-c3538-f25f1e6d81a7945cd59781432c0e73c0755a7f7d3907f3152e1173dc51a25ed33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0756.1999.tb01188.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0756.1999.tb01188.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10680341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Wai-Chung</creatorcontrib><creatorcontrib>Kun, Ka-Yan</creatorcontrib><creatorcontrib>Tai, Chark-Man</creatorcontrib><title>Emergency Obstetric Hysterectomies for Postpartum Haemorrhage</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Objective: To review emergency obstetric hysterectomy in our unit, including the indications for and morbidity associated with the procedure
Design: A retrospective cases analysis.
Subjects and methods: Records of obstetric patients who had undergone emergency hysterectomies in between 15 October 1993 and 31 December 1997 were reviewed retrospectively.
Results: There were 15,474 deliveries and 7 emergency obstetric hysterectomies. All cases had total abdominal hysterectomy. The indications for hysterectomy were uterine atony and placental disorders. There were one case of urinary bladder injury and 2 cases of disseminated intravascular coagulopathy. There was no maternal mortality.
Conclusion: Emergency obstetric hysterectomy remains a potentially life‐saving procedure in unavoidable catastrophe. The 7 patients with life threatening postpartum haemorrhage underwent hysterectomy after failure of conservative measures. The morbidity is low and there was no mortality in this series.</description><subject>Adult</subject><subject>complication</subject><subject>Emergencies</subject><subject>emergency</subject><subject>Emergency Treatment</subject><subject>Female</subject><subject>Hong Kong - epidemiology</subject><subject>Humans</subject><subject>Hysterectomy - statistics & numerical data</subject><subject>indications</subject><subject>Medical Records</subject><subject>Morbidity</subject><subject>obstetric hysterectomy</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postpartum Hemorrhage - epidemiology</subject><subject>Postpartum Hemorrhage - surgery</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Retrospective Studies</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkF1LwzAUhoMofkz_ghQvvGvNaZqmFUREdFM2J_h5F7L0VDvXdSYtbv_elI7hrbnJC-c9T8JDyAnQANw5mwYQRcKngscBpGka1BMKkCTBcovsb0bbLrMI_ISKeI8cWDulFEQKyS7ZAxon1A33ycVNieYD53rljSe2xtoU2husXDKo66os0Hp5ZbzHytYLZeqm9AYKy8qYT_WBh2QnVzOLR-u7R15ub56vB_5w3L-7vhr6mnGW-HnIc8A4S0CJNOI646lIIGKhpiiYdr_lSuQiYykVOQMeIoBgmeagQo4ZYz1y2nEXpvpu0NayLKzG2UzNsWqsjNOIxWEYueJ5V9SmstZgLhemKJVZSaCylSensjUkW0OylSfX8uTSLR-vX2kmJWZ_VjtbrnDZFX6KGa7-gZb3436bHMHvCIUzvNwQlPmSsWCCy7eHvhy8Mz6KRk_ylf0CLxSOBg</recordid><startdate>199912</startdate><enddate>199912</enddate><creator>Wong, Wai-Chung</creator><creator>Kun, Ka-Yan</creator><creator>Tai, Chark-Man</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199912</creationdate><title>Emergency Obstetric Hysterectomies for Postpartum Haemorrhage</title><author>Wong, Wai-Chung ; Kun, Ka-Yan ; Tai, Chark-Man</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-f25f1e6d81a7945cd59781432c0e73c0755a7f7d3907f3152e1173dc51a25ed33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>complication</topic><topic>Emergencies</topic><topic>emergency</topic><topic>Emergency Treatment</topic><topic>Female</topic><topic>Hong Kong - epidemiology</topic><topic>Humans</topic><topic>Hysterectomy - statistics & numerical data</topic><topic>indications</topic><topic>Medical Records</topic><topic>Morbidity</topic><topic>obstetric hysterectomy</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postpartum Hemorrhage - epidemiology</topic><topic>Postpartum Hemorrhage - surgery</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Wai-Chung</creatorcontrib><creatorcontrib>Kun, Ka-Yan</creatorcontrib><creatorcontrib>Tai, Chark-Man</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Wai-Chung</au><au>Kun, Ka-Yan</au><au>Tai, Chark-Man</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency Obstetric Hysterectomies for Postpartum Haemorrhage</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>1999-12</date><risdate>1999</risdate><volume>25</volume><issue>6</issue><spage>425</spage><epage>430</epage><pages>425-430</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Objective: To review emergency obstetric hysterectomy in our unit, including the indications for and morbidity associated with the procedure
Design: A retrospective cases analysis.
Subjects and methods: Records of obstetric patients who had undergone emergency hysterectomies in between 15 October 1993 and 31 December 1997 were reviewed retrospectively.
Results: There were 15,474 deliveries and 7 emergency obstetric hysterectomies. All cases had total abdominal hysterectomy. The indications for hysterectomy were uterine atony and placental disorders. There were one case of urinary bladder injury and 2 cases of disseminated intravascular coagulopathy. There was no maternal mortality.
Conclusion: Emergency obstetric hysterectomy remains a potentially life‐saving procedure in unavoidable catastrophe. The 7 patients with life threatening postpartum haemorrhage underwent hysterectomy after failure of conservative measures. The morbidity is low and there was no mortality in this series.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>10680341</pmid><doi>10.1111/j.1447-0756.1999.tb01188.x</doi><tpages>6</tpages></addata></record> |
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| ispartof | The journal of obstetrics and gynaecology research, 1999-12, Vol.25 (6), p.425-430 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult complication Emergencies emergency Emergency Treatment Female Hong Kong - epidemiology Humans Hysterectomy - statistics & numerical data indications Medical Records Morbidity obstetric hysterectomy Postoperative Complications - epidemiology Postpartum Hemorrhage - epidemiology Postpartum Hemorrhage - surgery Pregnancy Pregnancy Complications - epidemiology Retrospective Studies |
| title | Emergency Obstetric Hysterectomies for Postpartum Haemorrhage |
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