title: Planned vs emergent cesarean hysterectomy.
abstract: OBJECTIVE
  The aim of this study was to compare operative and postpartum outcomes between planned and emergent cesarean hysterectomy.
  
  
  METHODS
  In this multicenter retrospective review over a 5-year period, 65 cases of cesarean hysterectomy (30 planned vs 35 emergent) were identified. Demographic, operative, and postoperative data were extracted and stratified by group (planned vs emergent).
  
  
  RESULTS
  Patients who underwent an emergent cesarean hysterectomy were more likely to have higher estimated blood loss (2597.1 +/- 1369.4 mL vs 1963.3 +/- 1180.2 mL; P = .05), have transfusion (66% vs 33%; P = .02), and require greater quantities of packed red blood cells (4.49 +/- 4.7 x10(12)/L vs 1.6 +/- 3.1 x10(12)/L; P = .006) compared with the planned cesarean hysterectomy group. Patients who underwent emergent cesarean hysterectomy had higher overall complication rates (37% vs 66%; P = .03) and more intensive care unit admissions (7% vs 29%; P = .03).
  
  
  CONCLUSIONS
  After planned cesarean hysterectomy, patients had a significantly lower rate of blood loss, less need for blood transfusions, and fewer complications compared with patients who underwent an emergent cesarean hysterectomy.
authors: Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS, USA.
authors: Christian M
authors: CM
authors: Briery
authors: Carl H
authors: CH
authors: Rose
authors: William T
authors: WT
authors: Hudson
authors: Monica A
authors: MA
authors: Lutgendorf
authors: Everett F
authors: EF
authors: Magann
authors: Suneet P
authors: SP
authors: Chauhan
authors: John C
authors: JC
authors: Morrison
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007231:Infant, Newborn; D011247:Pregnancy; D012189:Retrospective Studies; D016216:Ultrasonography, Prenatal