title: [Ablative cesarean section and post-partum hysterectomy: review of 11 years of obstetric practice].
abstract: Obstetric hysterectomy is often performed as an emergency life-saving procedure. This retrospective report reviews the 11 years experience (1-1 1980 through 31-12-1990) at Mangiagalli Hospital, Milan. During this time 50 obstetric hysterectomies (incidence rate = 0.12%) were performed; cesarean hysterectomies were 30 (60%), hysterectomies after cesarean section 14 (28%) and after vaginal delivery 6 (12%). Its rate during or after cesarean section was 0.44% and after vaginal delivery was 0.02%. Thirty-six per cent of patients were nulliparous. Main indications were placental disorders, uterine atony with uncontrollable bleeding, disseminated intravascular coagulation (DIC). In 7 cases was performed an elective operation, in 4 cases for neoplasia and in 3 cases for myomata uteri. Maternal mortality rate was 2.04%, five patients (10%) developed hematomas and required further interventions.
authors.affiliation: Clinica Ostetrico-Ginecologica L. Mangiagalli, Università degli Studi di Milano.
authors.forename: M
authors.initials: M
authors.lastname: Dindelli
authors.forename: S
authors.initials: S
authors.lastname: Ferrari
authors.forename: M T
authors.initials: MT
authors.lastname: Potenza
authors.forename: D
authors.initials: D
authors.lastname: Ferrari
authors.forename: A
authors.initials: A
authors.lastname: Ferrari
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric; D004630:Emergencies / Q000453:epidemiology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000401:mortality / Q000706:statistics & numerical data*; D007045:Hysterectomy, Vaginal / Q000706:statistics & numerical data; D007558:Italy / Q000453:epidemiology; D008428:Maternal Mortality; D008875:Middle Aged; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000601:surgery*; D011252:Pregnancy Complications, Neoplastic / Q000453:epidemiology / Q000601:surgery; D014592:Uterine Hemorrhage / Q000453:epidemiology / Q000601:surgery
vernacular_title: Taglio cesareo demolitore ed isterectomia post-partum: rassegna di 11 anni di attività ostetrica.