title: Elective caesarean hysterectomy. Indications and outcome: a 17-year experience of 140 cases.
abstract: In an earlier report of 86 elective Caesarean hysterectomies (1970-1979) we showed that the operation was associated with few complications but a high blood transfusion rate. In this paper we report an extended series comprised of 140 cases (1970-1986), and compare results of the 1970's series with that of the 1980's. The operative and postoperative complications were minimal during the entire period. The blood transfusion rate which was 64% in 86 cases of the 1970-1979 period decreased to 17% in 54 cases of the 1980-1986. Our results show that Caesarean hysterectomy is a safe procedure with some long-term advantages; therefore this option should be discussed with women who ask for tubal sterilization at the time of Caesarean section.
authors.affiliation: Department of Obstetrics and Gynaecology, Assaf Harofeh Medical Center, Zerifin, Israel.
authors.forename: I
authors.initials: I
authors.lastname: Bukovsky
authors.forename: D F
authors.initials: DF
authors.lastname: Schneider
authors.forename: R
authors.initials: R
authors.lastname: Langer
authors.forename: S
authors.initials: S
authors.lastname: Arieli
authors.forename: E
authors.initials: E
authors.lastname: Caspi
mesh_terms: D001803:Blood Transfusion / Q000706:statistics & numerical data; D002585:Cesarean Section / Q000009:adverse effects / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D007557:Israel; D011183:Postoperative Complications; D011247:Pregnancy