scholarly journals Emergency obstetric hysterectomy: a retrospective study from a teaching hospital over eight years

Author(s):  
Madhureema Verma ◽  
Manju Agarwal

Background: EOH is define as removal of uterus (total or subtotal) at the time of caesarean section or following vaginal delivery within puerperium. Objective of present study was to determine the frequency, demographic characteristics, indications, and maternal outcomes associated with emergency obstetric hysterectomy.Methods: It was a retrospective, observational, and analytical study conducted over a period of eight years, from January 2009 to December 2016. A total of 64 cases of emergency obstetric hysterectomy (EOH) were studied in the Department of Obstetrics and Gynecology, SRG Hospital and Jhalawar Medical College Jhalawar (Rajasthan).Results: The incidence of EOH in our study was 0.4 per 1000 following vaginal delivery and 3.5 per 1000 following cesarean section. The overall incidence was 1.03 per 1000 deliveries. Rupture uterus 30 (46.8%) was the most common indication followed by postpartum hemorrhage 23 (35.9%) and morbidly adherent placenta 11 (17.1%). Subtotal abdominal hysterectomy was performed in most of the cases. Maternal mortality was 6.2%.Conclusions: This study concluded the great role of EOH as a life-saving procedure in those cases where medical management has failed.

2010 ◽  
Vol 30 (7) ◽  
pp. 687-689 ◽  
Author(s):  
A. P. Rao ◽  
H. Bojahr ◽  
S. Beski ◽  
P. K. MacCallum ◽  
I. Renfrew

2021 ◽  
Vol 83 (1) ◽  
pp. 935-939
Author(s):  
Omar Mohamed Fahmy ◽  
Abdou Saeed Aitallah ◽  
Hazem Mohammed Abdelghafar ◽  
Mohamed Yahia Abdelhafez ◽  
Ahmed Aly Khalifa

2017 ◽  
Vol 31 (2) ◽  
pp. 65-69
Author(s):  
Golam Mahfuz Rabbani ◽  
Afzalur Rahman ◽  
Anisur Rahman Khan ◽  
Nur Hossain ◽  
Muhammad Badrul Alam ◽  
...  

Aims: To evaluate the association of coronary atherosclerotic severity in diabetic dyslipidemic patients of acute coronary syndrome.Methods: This was a cross sectional comparative analytical study, done in the Department of Cardiology, Sir Salimullah Medical College Mitford Hospital and Ibrahim Cardiac Hospital & Research Institute, Dhaka, during September 2009 to August 2010.Results: Most of the patients (57.5%) were in the age range of 40-70 years. Atherosclerotic severity in diabetic ACS patients was significantly higher with low HDL, high TC/HDL and high LDL/HDL ratio. Low HDL, high TC/HDL and high LDL/HDL ratio are indicators of the extent and severity of coronary artery disease. More frequent dyslipidemia in diabetic ACS patients were low HDL and it was about 54%.Conclusion: Atherosclerotic severity in diabetic acute coronary syndrome patients was significantly more in dyslipidemic group than non dyslipidemic group.Bangladesh Heart Journal 2016; 31(2) : 65-69


Author(s):  
Ranjana Desai ◽  
Bhanwar Singh Jodha ◽  
Richa Garg

Background: Morbidly adherent placenta, a grave complication of pregnancy is becoming an emerging cause of increased maternal morbidity and mortality. Objectives of present study are to evaluate the etiopathogenesis of MAP, its clinical mode of presentation and maternal and fetal outcome with the aim to reduce maternal morbidity and mortality.Methods: It was a retrospective and prospective study at Umaid Hospital, attached to Dr. S.N. Medical College, Jodhpur in which data of patients with clinical diagnosis of MAP were reviewed from October 2014 to January 2016.Results: In this study of 10 cases of morbidly adherent placenta of Umaid hospital from October-2014 to January 2016 were studied, it was found that the mean age of presentation was 30.2 year. 60% cases were unbooked and 40% cases were booked with regular ANC visit. 60% cases presented with bleeding per vagina as a chief complaint and 30% cases were admitted for elective LSCS. 60% cases were already diagnosed case of placenta praevia. 90% cases had a history of previous LSCS. 80% cases were given BT intraoperatively and postoperatively. 60% cases underwent caesarean hysterectomy, 80% cases were shifted to ICU, and there was one maternal death.Conclusions: The incidence of MAP is increasing due to higher cesarean section (C/S) rate. Antenatal diagnosis via USG and color-doppler imaging, preoperative counseling, planning and multidisciplinary approach is necessary to reduce morbidity and mortality associated with MAP.


Author(s):  
Na Li ◽  
Tian Yang ◽  
Wenqian Yu ◽  
Hao Liu ◽  
Chong Qiao ◽  
...  

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