Clinical Evaluation of 41 Cases of Cesarean Hysterectomy.

Park, J H; Rho, J S; Moon, T S; Jeon, D J; Jang, Y W; Koo, J N; Park, Y S

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Original Article

Korean Journal of Obstetrics & Gynecology 1998;41(10):2631-2635.
Published online January 1, 2001.

Clinical Evaluation of 41 Cases of Cesarean Hysterectomy.

J H Park, J S Rho, T S Moon, D J Jeon, Y W Jang, J N Koo, Y S Park

Abstract

OBJECTIVE
To evaluate the causes and maternal outcomes in patients who received cesarean hysterectomy operation. METHODS: Forty one patients received cesarean hysterectomy at Ulsan university hospital for the 11 years, from January 1987 to December 1997. RESULTS: The incidence of cesarean hysterectomy was 0.21% (41/19, 485 deliveries). Cesarean hysterectomy was performed in 32 of 4, 917 cesarean sections (0.65%) and in 9 of 14, 568 vaginal deliveries (0.062%). The higher the age and parity of patients, the higher the incidence of cesarean hysterectomy were noted (p<0.05, respectively). The most common indication of cesarean hysterectomy was placental disorders (41.4%), and that was followed by uterine atony (36.6%), uterine rupture (9.8%), uncontrolled bleeding with placenta previa (4.9%) and uterine myoma with pregnancy (4.9%). The postoperative complications were febrile morbidity, urinary tract infection, bladder injury, disseminated intravascular coagulopathy and wound disruption. There was one maternal death, the cause was sepsis and congestive heart failure. There was no significant difference between two operation methods in the aspect of postoperative complications (p>0.05). CONCLUSION: Postoperative complication still remains the main cause of maternal mortality and morbidity. Therefore, careful prenatal care, momentary judgement of right operation time must be conjunction with maternal lifesaving.

Key Words: Cesarean hysterectomy, Postoperative complication

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