[Obstetric hysterectomy--analysis of indications in years 1992-2001].
OBJECTIVE
Analysis of indications and post-operative course in patients after obstetric hysterectomy.


METHODS
45 cases of obstetric hysterectomy were analysed.


RESULTS
Mean age of operated woman was 32.18 +/- 4.31 years. Mean gestational age was 35.9 +/- 1.76 weeks. The estimated rate of obstetric hysterectomy was 2.5 per 1000 deliveries. The most frequent indication for urgent hysterectomy were placentation disorders. Elective hysterectomy was performed because o invasive cervical cancer and uterine myomas. Mean time of duration of surgery was 91.67 min.


CONCLUSIONS
1. Indications for obstetric hysterectomy should be stated very carefully and the operation should be performed by the most experienced staff. 2. In case of severe intraoperative bleeding internal iliac artery ligation should be performed.
Welfel
Jakub
J
I Klinika Ginekologii i Onkologii Ginekologicznej Instytutu Ginekologii i Połoznictwa UM w Lodzi. kuba@csk.am.lodz.pl
Gottwald
Leszek
L
Struzycki
Krzysztof
K
Kowalczyk-Amico
Katarzyna
K
Surkont
Grzegorz
G
Lech
Waldemar
W
Bieńkiewicz
Andrzej
A
Kowalski
Andrzej
A
Suzin
Jacek
J
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data; D007045:Hysterectomy, Vaginal / Q000706:statistics & numerical data; D007889:Leiomyoma / Q000453:epidemiology / Q000601:surgery; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000601:surgery*; D011044:Poland / Q000453:epidemiology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000453:epidemiology / Q000601:surgery; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D012307:Risk Factors; D014594:Uterine Neoplasms / Q000453:epidemiology / Q000601:surgery