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Peripartum Hysterectomy: Is There Any Difference Between Emergent versus Planned Surgery ?
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Aim: The aim of the study was to compare the outcomes of emergent and
planned peripartum hysterectomy. Methods: This retrospective
cross-sectional study was conducted in two hospitals. Maternal and
neonatal outcomes were compared according to the emergent and planned
peripartum hysterectomy. Results: Totally 34020 deliveries were
evaluated retrospectively and 66 peripartum hysterectomy cases were
analyzed. Of these patients, 31 cases were planned surgery and 35 cases
were emergent surgery. The patients who underwent planned peripartum
hysterectomy had lower rate of blood transfusion (83.9% vs. 100%,
p=0.014), higher postoperative hemoglobin levels (9.9±1.3 vs. 8.3±1.3,
p<0.001) compared with the emergent hysterectomy group. The
birth weight was lower although the apgar scores were higher in the
planned surgery compared with the emergent cases. Conclusion: The
planned peripartum hysterectomy with a experienced team provide less
need for transfusion and improved neonatal outcomes in regard to the
emergent peripartum hysterectomy.
Title: Peripartum Hysterectomy: Is There Any Difference Between Emergent versus Planned Surgery ?
Description:
Aim: The aim of the study was to compare the outcomes of emergent and
planned peripartum hysterectomy.
Methods: This retrospective
cross-sectional study was conducted in two hospitals.
Maternal and
neonatal outcomes were compared according to the emergent and planned
peripartum hysterectomy.
Results: Totally 34020 deliveries were
evaluated retrospectively and 66 peripartum hysterectomy cases were
analyzed.
Of these patients, 31 cases were planned surgery and 35 cases
were emergent surgery.
The patients who underwent planned peripartum
hysterectomy had lower rate of blood transfusion (83.
9% vs.
100%,
p=0.
014), higher postoperative hemoglobin levels (9.
9±1.
3 vs.
8.
3±1.
3,
p<0.
001) compared with the emergent hysterectomy group.
The
birth weight was lower although the apgar scores were higher in the
planned surgery compared with the emergent cases.
Conclusion: The
planned peripartum hysterectomy with a experienced team provide less
need for transfusion and improved neonatal outcomes in regard to the
emergent peripartum hysterectomy.
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