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Obstetric hysterectomy: Ramathibodi's experience 1969–1987
Author(s) -
Suchartwatnachai C.,
Linasmita V.,
Chaturachinda K.
Publication year - 1991
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(91)90711-d
Subject(s) - medicine , placenta previa , hysterectomy , uterine atony , hematoma , placenta accreta , incidence (geometry) , surgery , obstetrics , disseminated intravascular coagulation , abdominal hysterectomy , dehiscence , pregnancy , placenta , fetus , genetics , physics , optics , biology
Obstetric hysterectomy was performed on 121 women at Ramathibodi Hospital, Bangkok, between 1969 and 1987, an incidence of 1:875 deliveries. Of 88 women whose records were available, 91% had emergency hysterectomy, with uterine atony as the most common indication (32.5%), followed by placenta accreta (26.2%), uterine rupture (10.0%), extension of cervical tear to the lower uterine segment (8.7%), broad ligament hematoma (6.2%) and placenta previa (5.0%). The intraoperative and postoperative problems included febrile morbidity (52%), intraoperative hypotension (41%), and disseminated intravascular coagulation (5.7%). Late complications included Sheehan's syndrome (3.4%), post‐transfusion hepatitis (2.3%), hematoma (2.3%) and wound infection (2.3%).