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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2012, Cilt 26, Sayı 1, Sayfa(lar) 035-038
[ Turkish ] [ Tam Metin ] [ PDF ]
Investigation of Patients Who Underwent Emergency Peripartum Hysterectomy: 3 Year Experience
Salih Burçin KAVAK1, Bülent KORKUT2, Ebru KAVAK3
1Fırat Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Elazığ, TÜRKİYE
2Kızıltepe Devlet Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Mardin, TÜRKİYE
3Özel Doğu Anadolu Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Elazığ, TÜRKİYE
Keywords: Peripartum hysterectomy, uterine atony

Objective: The aim of this study is to investigate the demographic properties of patients who underwent emergency peripartum hysterectomy was to examine retrospectively.

Material and Methods: We retrospectively analysed the cases who underwent emergency periparum hysterectomy between June 2008-June 2011 in Kızıltepe State Hospital department of obstetrics and gynecology. Patients demographics, indications hysterectomies and types of hysterectomy (subtotal or total hysterectomy) were recorded. Maternal end fetal mortality rates were determined.

Results: In this period, 14 cases were recorded and identified as a 0.86% incidence of peripartum bleeding. 8 (57,1%) patient with total abdominal hysterectomy, 6 (42,9%) subtotal hysterectomy was performed in the cases. Indications for hysterectomy 9 (64,3%) atony, 3 (21,4%) uterine rupture and 2 (14.3%) placenta percreata were recorded. Hysterectomies 3 of them 21,4% by cesarean delivery, 11 of them also 78.6% was applied followed by vaginal birth. 6 (42,9%) patients underwent bilateral hypogastric artery ligation. No maternal mortality and only one fetal mortality were recorded.

Conclusion: The most common indication of emergency peripartum hysterectomy is uterine atony. Emergency peripartum hysterectomy is a lifesaving procedure when performed appropriate and timely indication.


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