title: Emergency peripartum hysterectomy: single center ten-year experience.
abstract: OBJECTIVE
  The purpose of our study is to determine the incidence, risk factors, indications, outcomes, and complications of emergency peripartum hysterectomy (EPH) performed in a university hospital.
  
  
  METHODS
  This retrospective study includes 54 cases of EPH performed at the department of obstetrics and gynecology of Gaziantep University Hospital between the years 2005-2015. We included all hysterectomy cases during the first 24 h after delivery beyond 20 weeks of gestation. We compared the most common indications of EPH between each other.
  
  
  RESULTS
  There were 54 EPH out of 8922 deliveries with an incidence of 6.1 per 1000 deliveries during the study period. The most common indication was abnormal placentation (74.0%). Urinary tract injury (33.4%) was the most common intraoperative complication. Bilateral hypogastric artery ligation, urinary tract injury, type of hysterectomy, post-op stay in the hospital, delivery in another hospital and other complications were significantly related to the type of EPH indication (p < 0.05).
  
  
  CONCLUSIONS
  Abnormal placentation was the most common indication for EPH. Previous CS can be suggested as a high-risk factor for abnormal placentation. The delivery should be performed in appropriate clinical settings with experienced surgeons when high-risk factors like abnormal placentations are determined preoperatively.
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Medicine , Gaziantep University , Gaziantep , Turkey.
authors.forename: Hüseyin Çağlayan
authors.initials: HÇ
authors.lastname: Özcan
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Medicine , Gaziantep University , Gaziantep , Turkey.
authors.forename: Mete Gurol
authors.initials: MG
authors.lastname: Uğur
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Medicine , Gaziantep University , Gaziantep , Turkey.
authors.forename: Özcan
authors.initials: Ö
authors.lastname: Balat
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Medicine , Gaziantep University , Gaziantep , Turkey.
authors.forename: Neslihan
authors.initials: N
authors.lastname: Bayramoğlu Tepe
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Medicine , Gaziantep University , Gaziantep , Turkey.
authors.forename: Seyhun
authors.initials: S
authors.lastname: Sucu
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000379:methods / Q000706:statistics & numerical data; D004630:Emergencies / Q000453:epidemiology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000706:statistics & numerical data; D058725:Peripartum Period; D010922:Placenta Diseases / Q000453:epidemiology / Q000601:surgery; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors; D014593:Uterine Inertia / Q000453:epidemiology / Q000601:surgery; D014597:Uterine Rupture / Q000453:epidemiology / Q000601:surgery; D055815:Young Adult
keywords: Emergency peripartum hysterectomy; abnormal placentation; uterine atony; uterine rupture