Planned cesarean hysterectomy: A preferred alternative to separate operations☆,☆☆,★
Section snippets
Material and methods
A computer search was performed to find the cases of all patients who underwent scheduled nonemergency cesarean hysterectomy at The University of Mississippi Medical Center during the 16-year period from January 1, 1981, through December 31, 1997. For comparison a control group was gathered that consisted of all patients during the same interval who underwent cesarean delivery followed by hysterectomy performed within 6 months. Parameters compared between groups included the standard population
Results
During the 16-year study interval there were 71,406 deliveries at The University of Mississippi Medical Center, 14,016 (19.6%) of which were abdominal. Of the patients who were delivered abdominally, 142 (1.0%) underwent cesarean hysterectomy. This number included the 100 women who underwent scheduled hysterectomy and 42 patients for whom the procedure was performed on an emergency basis. The control group consisted of 41 patients who underwent a cesarean delivery followed by hysterectomy
Comment
The topic of cesarean hysterectomy has been extensively debated and reviewed in the obstetric literature.11, 12, 13 Even so, confusion and controversy persist as to the actual risks associated with the procedure. When a cesarean hysterectomy is performed on an emergency basis as a lifesaving procedure for obstetric hemorrhage, it is difficult to separate the complications that are caused by the obstetric disorder necessitating the operation from the untoward outcomes that are caused by the
References (21)
- et al.
Elective versus emergency cesarean hysterectomy cases in a residency program setting: a review of 129 cases from 1984 to 1988
Am J Obstet Gynecol
(1991) - et al.
Emergency peripartum hysterectomy and associated risk factors
Am J Obstet Gynecol
(1993) - et al.
Postpartum hysterectomy
Int J Gynaecol Obstet
(1995) - et al.
Elective cesarean hysterectomy: a 5 year comparison with cesarean section
Am J Obstet Gynecol
(1976) - et al.
The conservative aggressive management of placenta previa
Am J Obstet Gynecol
(1980) - et al.
Tubal sterilization and long-term risk of hysterectomy: findings from the United States collaborative review of sterilization. The US Collaborative Review of Sterilization Working Group
Obstet Gynecol
(1997) - et al.
Hysterectomy at the time of cesarean section: analysis of 108 cases
Obstet Gynecol
(1981) - et al.
The perioperative morbidity of scheduled cesarean hysterectomy
Obstet Gynecol
(1993) - et al.
Caesarean and post-partum hysterectomy
Br J Obstet Gynaecol
(1986) - et al.
Comparison of morbidity of cesarean section hysterectomy versus cesarean section tubal ligation
Surg Gynecol Obstet
(1993)
Cited by (16)
Changing trends in peripartum hysterectomy over the last 4 decades
2009, American Journal of Obstetrics and GynecologyCitation Excerpt :More recently indications have been restricted to emergent situations or elective cancer cases. Seago et al23 recently reevaluated the role of elective PH in situations in which repeated CS is required in the presence of a valid gynecologic reason for concomitant uterine extirpation. They emphasize the associated low morbidity, the cost effectiveness, and the opportunity for residents to learn the operation with supervision and under controlled circumstances.
Multiple leiomyomatosis and pregnancy. Planned cesarean hysterectomy
2008, Progresos en Obstetricia y GinecologiaPlanned vs emergent cesarean hysterectomy
2007, American Journal of Obstetrics and GynecologyCitation Excerpt :This increase in abdominal delivery has been paralleled by higher rates of placentation abnormalities,3,8,9 which represents a significant risk for cesarean hysterectomy. Previous studies at our institution have demonstrated that elective cesarean hysterectomy is a safe procedure and provides an additional benefit by improving resident surgical training experience so that, in the event of emergency, the surgeon is familiar with the operation.5 The primary intent of this study was to address the difference between the elective or planned cesarean hysterectomy vs the emergent procedure as it concerns clinical outcomes and associated maternal morbidities.
Obstetric management for stillbirth complicated by a prior cesarean delivery: a cost-effectiveness analysis
2022, Journal of Maternal-Fetal and Neonatal MedicineEmergent versus planned delivery in patients with placenta accreta spectrum disorders: A retrospective study
2021, Medicine (United States)Emergency peripartum hysterectomy: single center ten-year experience
2017, Journal of Maternal-Fetal and Neonatal Medicine
- ☆
Supported in part by the Vicksburg Hospital Medical Foundation.
- ☆☆
Reprints not available from the authors.
- ★
0002-9378/99 $8.00 + 06/6/98155