Elective versus emergency cesarean hysterectomy cases in a residency program setting: a review of 129 cases from 1984 to 1988.
A retrospective study was performed to compare elective versus emergency cesarean hysterectomy in a residency program. We noted the following statistically significant differences between emergency and elective cases: (1) Estimated blood loss (mean +/- SD) for emergency and elective cases was significantly different at 1495 +/- 772 and 875 +/- 396 ml (p = 0.001). (2) Operative time in emergency cases was significantly longer than in elective cases (105 +/- 38 vs 83 +/- 27 minutes, p = 0.003). (3) The incidence of transfusion was 68% in our emergency cases and 14.6% in the elective series (p less than 0.05). (4) Febrile morbidity in our series was 40% in emergency cases and 18.3% in elective cases (p less than 0.05). Our series was comparable to previous series reported. Our experience suggests that cesarean hysterectomy can be performed safely in a residency training program when done as an elective procedure in the well-prepared patient.
Gonsoulin
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Department of Obstetrics and Gynecology, Louisiana State University School of Medicine, New Orleans.
Kennedy
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Guidry
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D000328:Adult; D001034:Apgar Score; D002585:Cesarean Section; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007231:Infant, Newborn; D007396:Internship and Residency; D010052:Ovariectomy; D011183:Postoperative Complications; D011247:Pregnancy; D012189:Retrospective Studies