[Emergency haemostasis hysterectomy in obstetrics].
The study was based on 15 cases of haemostasis hysterectomy: 7 cases after caesarian section, 8 cases after normal delivery. The etiological circumstances varied, the haemorrhage being due to uterine rupture, to an accident during delivery related to uterine atony, to placenta accreta, or to a coagulation disorder. In these circumstances, the most satisfactory operation seems to be total hysterectomy with bilateral ovariectomy, conservation of the ovaries being justified in younger women. The authors describe the precautions that they feel are essential during labour or during a caesarian section to avoid such complications.
Gellé
P
P
Service de Gynécologie-Obstétrique, Centre Hospitelier, 59100 Roubaix, France.
Crépin
G
G
Delahousse
G
G
Decocq
J
J
Querleu
D
D
Mouquet
M
M
D000347:Afibrinogenemia / Q000150:complications; D002585:Cesarean Section; D036861:Delivery, Obstetric; D004630:Emergencies; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007743:Labor, Obstetric; D010052:Ovariectomy; D010921:Placenta Accreta / Q000601:surgery; D011247:Pregnancy; D014592:Uterine Hemorrhage / Q000209:etiology / Q000517:prevention & control; D014593:Uterine Inertia / Q000601:surgery; D014597:Uterine Rupture / Q000601:surgery