Shakira Perveen.
Emergency Cesarean hysterectomy
J Surg Pak Sep 2005;10(3):27-30.
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Objective: To evaluate clinical indications and associated risk factors of emergency cesarean hysterectomy. Patients and Method: It was a case series comprising of patients managed at two private hospital. During three years study period 25 patients under went emergency cesarean hysterectomy. Records of all these patients were analyzed. Variable included clinical data, investigations, operative findings and pathological reports. Results: A total of 18926 vaginal deliveries, 4894 cesarean section and 25 emergency cesarean hysterectomies were performed during study period. In our study frequency of cesarean hysterectomy was 1.3/ 1000 of vaginal deliveries and 5/1000 of cesarean section. Twenty one (84%) cases were non booked emergency admission, majority of them were multipara. Antepartum haemorrhage was indication of cesarean section in 84% and indications of cesarean hysterectomy was adherent placenta in 68%, uncontrollable haemorrhage in 24% and couvelair uterus in 10%. In 92% total abdominal hysterectomy was done. Conclusion: In this series main indication of emergency cesarean section was adherent placenta in patients with placenta praevia and previous uterine scar.

Category: Obstetrics and Gynecology
Keywords: Hysterectomy. Cesarean Section. Placenta Previa. Uterus.

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