Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 9 , ISSUE 3 ( July-September, 2015 ) > List of Articles

RESEARCH ARTICLE

Evaluation of Parameters that Influence Morbidity in Peripartum Hysterectomy

George Daskalakis, Vasilios Pergialiotis, Alexandros Rodolakis, George Vlachos, Dimitrios Loutradis, Nikolaos Papantoniou

Keywords : Morbidity,Obstetrical hysterectomy,Peripartum hysterectomy,Placenta accreta

Citation Information : Daskalakis G, Pergialiotis V, Rodolakis A, Vlachos G, Loutradis D, Papantoniou N. Evaluation of Parameters that Influence Morbidity in Peripartum Hysterectomy. Donald School J Ultrasound Obstet Gynecol 2015; 9 (3):234-238.

DOI: 10.5005/jp-journals-10009-1410

License: CC BY-NC 4.0

Published Online: 01-03-2016

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Objective

To evaluate which factors affect the intraoperative and postoperative morbidity in cases of peripartum hysterectomy.

Study design

A retrospective study of all cases of peripartum hysterectomy performed during a 5-year period (January 2008–June 2013) in a tertiary maternity hospital.

Results

A total of 22,437 deliveries were reviewed and 63 cases of peripartum hysterectomy (2.8/1000) were identified. The indications for peripartum hysterectomy included: uterine atony (10 cases—15.9%), placenta accreta (21 cases—33.3%), placenta previa (30 cases—47.6%) and cervical pregnancy (2 cases—3.2%). Significantly higher rates of perioperative blood transfusion were noted in the emergency cases group, compared to the elective hysterectomies. Hypogastric artery ligation did not have any significant impact on the outcome. Preoperative bilateral ureteral catheterization was associated with lower need for blood transfusion (p < 0.001), and with less complications, although this was not statistically significant.

Conclusion

Maternal morbidity is significantly higher in emergency cases of peripartum hysterectomies compared to expected-planned cases.

How to cite this article

Daskalakis G, Antsaklis P, PergialiotisV, Rodolakis A, Vlachos G, Loutradis D, Papantoniou N. Evaluation of Parameters that Influence Morbidity Peripartum Hysterectomy. Donald School J Ultrasound Obstet Gynecol 2015;9(3):234-238.


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