Peripartum Hysterectomy: A Review of Cesarean and Postpartum Hysterectomy
A retrospective review of 117 women who underwent peripartum hysterectomy at Duke University Medical Center during the past 21 years was conducted. Seventy-three cesarean hysterectomies were performed electively; 44 cesarean or postpartum hysterectomies were performed as emergencies. Statistically s...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1985-03, Vol.65 (3), p.365-370 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | CHESTNUT, DAVID H EDEN, ROBERT D GALL, STANLEY A PARKER, ROY T |
| description | A retrospective review of 117 women who underwent peripartum hysterectomy at Duke University Medical Center during the past 21 years was conducted. Seventy-three cesarean hysterectomies were performed electively; 44 cesarean or postpartum hysterectomies were performed as emergencies. Statistically significant differences were noted between these groups in surgical technique, operative time, estimated blood loss, intraoperative hypotension, and intraoperative and total blood replacement. Additional significant differences were noted in postoperative febrile morbidity, use of therapeutic antibiotics, incidence of thromboembolic phenomena, and length of postoperative hospital stay. Separate analysis of elective cesarean hysterectomy patients revealed statistically significant decreases in operative time, estimated blood loss, intraoperative and total blood replacement, and postoperative hospital stay in the group having an experienced surgeon when compared with the group with less experienced surgeons. (Obstet Gynecol 65:365, 1985) |
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Seventy-three cesarean hysterectomies were performed electively; 44 cesarean or postpartum hysterectomies were performed as emergencies. Statistically significant differences were noted between these groups in surgical technique, operative time, estimated blood loss, intraoperative hypotension, and intraoperative and total blood replacement. Additional significant differences were noted in postoperative febrile morbidity, use of therapeutic antibiotics, incidence of thromboembolic phenomena, and length of postoperative hospital stay. Separate analysis of elective cesarean hysterectomy patients revealed statistically significant decreases in operative time, estimated blood loss, intraoperative and total blood replacement, and postoperative hospital stay in the group having an experienced surgeon when compared with the group with less experienced surgeons. 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Seventy-three cesarean hysterectomies were performed electively; 44 cesarean or postpartum hysterectomies were performed as emergencies. Statistically significant differences were noted between these groups in surgical technique, operative time, estimated blood loss, intraoperative hypotension, and intraoperative and total blood replacement. Additional significant differences were noted in postoperative febrile morbidity, use of therapeutic antibiotics, incidence of thromboembolic phenomena, and length of postoperative hospital stay. Separate analysis of elective cesarean hysterectomy patients revealed statistically significant decreases in operative time, estimated blood loss, intraoperative and total blood replacement, and postoperative hospital stay in the group having an experienced surgeon when compared with the group with less experienced surgeons. (Obstet Gynecol 65:365, 1985)</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cesarean Section - adverse effects</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Emergencies</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hemorrhage - etiology</subject><subject>Humans</subject><subject>Hysterectomy - adverse effects</subject><subject>Intraoperative Complications</subject><subject>Length of Stay</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obstetrical techniques</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkEtLw0AUhQdRaq3-BCELcReYzCMz464UtYWCRRTchZvJHRrNy5nE0n9vSosrV4fL-e6Bc87INNGKx4zzj3MypZSZWGkhLslVCJ-U0iQ1fEIm3ChhUjYlqw36sgPfD3W03IcePdq-rfcP0Tx6xZ8Sd1HrogUG8AhNBE0RbdrQ__NxTS4cVAFvTjoj70-Pb4tlvH55Xi3m67hjmsq4sEpprSkIUMhAICiXC00dGp4awBwK4VKaWy1BMCch0VhwRwtpbaKB8Rm5P-Z2vv0eMPRZXQaLVQUNtkPIVEoTLvUBvD2BQ15jkXW-rMHvs1P30b87-RAsVM5DY8vwhxmmBKNmxMQR27XVWDZ8VcMOfbZFqPptNk5KUyZpnBgtKR-v-LCy5L8ChHO9</recordid><startdate>198503</startdate><enddate>198503</enddate><creator>CHESTNUT, DAVID H</creator><creator>EDEN, ROBERT D</creator><creator>GALL, STANLEY A</creator><creator>PARKER, ROY T</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198503</creationdate><title>Peripartum Hysterectomy: A Review of Cesarean and Postpartum Hysterectomy</title><author>CHESTNUT, DAVID H ; EDEN, ROBERT D ; GALL, STANLEY A ; PARKER, ROY T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2805-dc778880a4a7e2a4ea7fb480fe9369aebad4f60bc85a42f5a18ed3f0d5cc18a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cesarean Section - adverse effects</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Emergencies</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hemorrhage - etiology</topic><topic>Humans</topic><topic>Hysterectomy - adverse effects</topic><topic>Intraoperative Complications</topic><topic>Length of Stay</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Obstetrical techniques</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHESTNUT, DAVID H</creatorcontrib><creatorcontrib>EDEN, ROBERT D</creatorcontrib><creatorcontrib>GALL, STANLEY A</creatorcontrib><creatorcontrib>PARKER, ROY T</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHESTNUT, DAVID H</au><au>EDEN, ROBERT D</au><au>GALL, STANLEY A</au><au>PARKER, ROY T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peripartum Hysterectomy: A Review of Cesarean and Postpartum Hysterectomy</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1985-03</date><risdate>1985</risdate><volume>65</volume><issue>3</issue><spage>365</spage><epage>370</epage><pages>365-370</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>A retrospective review of 117 women who underwent peripartum hysterectomy at Duke University Medical Center during the past 21 years was conducted. Seventy-three cesarean hysterectomies were performed electively; 44 cesarean or postpartum hysterectomies were performed as emergencies. Statistically significant differences were noted between these groups in surgical technique, operative time, estimated blood loss, intraoperative hypotension, and intraoperative and total blood replacement. Additional significant differences were noted in postoperative febrile morbidity, use of therapeutic antibiotics, incidence of thromboembolic phenomena, and length of postoperative hospital stay. Separate analysis of elective cesarean hysterectomy patients revealed statistically significant decreases in operative time, estimated blood loss, intraoperative and total blood replacement, and postoperative hospital stay in the group having an experienced surgeon when compared with the group with less experienced surgeons. (Obstet Gynecol 65:365, 1985)</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>3974962</pmid><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1985-03, Vol.65 (3), p.365-370 |
| issn | 0029-7844 1873-233X |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Biological and medical sciences Cesarean Section - adverse effects Delivery. Postpartum. Lactation Emergencies Female Gynecology. Andrology. Obstetrics Hemorrhage - etiology Humans Hysterectomy - adverse effects Intraoperative Complications Length of Stay Medical sciences Middle Aged Obstetrical techniques Postpartum Period Pregnancy Retrospective Studies Time Factors |
| title | Peripartum Hysterectomy: A Review of Cesarean and Postpartum Hysterectomy |
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