[Emergency peripartum hysterectomy: indications and prognosis]
Tunisie Medicale [La]. 2012; 90 (8/9): 625-629
em Fr
| IMEMR
| ID: emr-151892
Biblioteca responsável:
EMRO
ABSTRACT
Detect the risk factors, indications and maternel morbidity of haemostatic hysterectomy. A retrospective study of 46 women who had haemostatic hysterectomy between 2005 and 2009. The mean age was 33.3 years. The mean parity was 3.5. 35% of patients had a previous cesarean section. The mode of delivery was vaginal delivery [47.8%], cesarean delivery [52.2%]. The hysterectomy was subtotal in 39 cases [85%]. The indications of haemostatic hysterectomy was uterine inertia [44%], disseminated intravascular coagulation [26%], placenta accreta [8.7%], Placenta praevia [13%], uterine rupture [8.7%]. Three patients were dead. Five patients had a depression. Six patients had a dyspareunia. Five patients had a decrease of sexual desire. Haemostatic hysterectomy is a multilating surgery giving an irreversible infertility. The development of arterial embolization avoid the appeal to this surgery
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Índice:
IMEMR
Idioma:
Fr
Revista:
Tunisie Med.
Ano de publicação:
2012