Cezarean Hysterectomy, A lifesaving Procedure that Albanian Obstetricans Must Be Familiar With
AJTES Vol 2, No 1,  January 2018.
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Keywords

Cesarean hysterectomy
postpartum hemorrhage
maternal
mortality
morbidity

How to Cite

Kaza, L., Halluni, S., Celami, R., & Delia, Z. (2018). Cezarean Hysterectomy, A lifesaving Procedure that Albanian Obstetricans Must Be Familiar With. Albanian Journal of Trauma and Emergency Surgery, 2(1), 57-60. https://doi.org/10.32391/ajtes.v2i1.158

Abstract

Cesarean Hysterectomy refers to emergency peripartum hysterectomy - EPH, which is performed as a life-saving procedure in cases of continual obstetric hemorrhage secondary to uterine atony, uterine rupture, placental disorders, fibroids, and lacerations during cesarean section - CS or vaginal parturition. Emergency peripartum hysterectomy - EPH, although rare in modern obstetrics, remains a life- saving procedure in cases of severe hemorrhage. In contemporary obstetrics, the overall incidence of severe postpartum hemorrhage was reported to occur in 6.7/1,000 deliveries worldwide. It is one of the leading causes of maternal mortality and morbidity and represents the most challenging complication that an obstetrician will face. The incidence of peripartum hysterectomy in the literature is reported as 0.24, 0.77, 2.3, and 5.09 per 1,000 deliveries by many authors mentioning a few; Sakse et al., White- man et al., Bai et al., and Zeteroglu et al., respectively. Nevertheless, there is a lack of Albanian data on EPH. To our knowledge, there is no Portuguese information on postpartum hemorrhage and EPH, which does not mean that we do not have such obstetrical complications and therefore such emergency intervention. This paper’s intention is to bring awareness of such catastrophic obstetrical complications especially in young primigravida and primipara women.

https://doi.org/10.32391/ajtes.v2i1.158
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References

1. D. W. Sturdee and D. I. Rushton, “Caesarean and post-partum hysterectomy 1968–1983,” British Journal of Obstetrics and Gynaecology, vol. 93, no. 3, pp. 270–274, 1986.
2. M. E. Akar, E. S. Yilmaz, B. Yuksel, and Z. Yilmaz, “Emergency peripartum hysterecto- my,” European Journal of Obstetrics Gynecol- ogy and Reproductive Biology, vol. 113, no. 2, pp. 178–181, 2004.
3. Kwee, M. L. Bots, G. H. A. Visser, and H. W. Bruinse, “Emergency peripartum hysterec- tomy: a prospective study in the Netherlands,” European Journal of Obstetrics Gynecology and Reproductive Biology, vol. 124, no. 2, pp. 187–192, 2006.
4. G. Daskalakis, E. Anastasakis, N. Papantoniou,
S. Mesogitis, M. Theodora, and A. Antsaklis, “Emergency obstetric hysterectomy,” Acta Ob- stetricia et Gynecologica Scandinavica, vol. 86, no. 2, pp. 223–227, 2007.
5. C. Rossi, R. H. Lee, and R. H. Chmait, “Emer- gency postpartum hysterectomy for uncon- trolled postpartum bleeding: a systematic re- view,” Obstetrics and Gynecology, vol. 115, no. 3, pp. 637–644, 2010.
6. Plauché WC, Gruich FG, Bourgeois MO: Hys- terectomy at the time of caesarean section. Ob- stet Gynaecol 1981;58:459–464.
7. O’Brien D, Babiker E, O’Sullivan O, Conroy R, McAuliff F, Geary M, Byrne B: Prediction of peripartum hysterectomy and end organ dys- function in major obstetric haemorrhage. Eur J Obstet Gynaecol Biol 2010;153:165–169.
8. Henrich W, Surbek D, Kainer F, Grottke O: European Guidelines to treat massive obstetric haemorrhage. J Perinat Med 2008;36:467–478.
9. Plauché WC. Cesarean hysterectomy: Indica- tions, technique, and complications. Clin Ob- stet Gynecol. 1986; 29: 318–328.
10. Plauché WC. Peripartal hysterectomy. Obstet Gynecol Clin North Am. 1988; 15: 783–795.
11. Kastner ES, Figueroa R, Garry D, Maulik
D. Emergency peripartum hysterectomy: Expe- rience at a Community Teaching Hospital. Ob- stet Gynecol. 2002; 99: 971–975.
12. Bateman BT, Mhyre JM, Callaghan WM, Kuklina EV. Peripartum hysterectomy in the United States: nationwide 14 year experience. Am J Obstet Gynecol. 2012; 206: 63.e1–8.
13. Durfee RB. Evolution of cesarean hysterecto- my. Clin Obstet Gynecol 1969;12:575-579.
14. Chanrachakul B, Chaturachinda K, Phuapa- dit W, Rosingsipragarn R. Cesarean and post- partum hysterectomy. Int J Gynecol Obstet 1996;54:109-113.
15. Sparić R1, Kadija S, Hudelist G, Glisić A,Buzadzić S. History of caesarean hysterectomy. Acta Chir Iugosl. 2012;59(1):9-12.
16. Govindappagari S, Wright JD, Ananth CV, et al. Risk of Peripartum Hysterectomy and Center Hysterectomy and Delivery Volume. Obstet Gynecol 2016; 128:1215.
17. Whiteman MK, Kuklina E, Hillis SD, et al. Inci- dence and determinants of peripartum hyster- ectomy. Obstet Gynecol 2006; 108:1486.
18. Imudia AN, Awonuga AO, Dbouk T, et al. In- cidence, trends, risk factors, indications for, and complications associated with cesarean hyster- ectomy: a 17-year experience from a single in- stitution. Arch Gynecol Obstet 2009; 280:619.
19. Jakobsson M, Tapper AM, Colmorn LB, et al. Emergency peripartum hysterectomy: resultsfrom the prospective Nordic Obstetric Sur- veillance Study (NOSS). Acta Obstet Gynecol Scand 2015; 94:745.
20. Campbell SM, Corcoran P, Manning E, et al. Peripartum hysterectomy incidence, risk factors and clinical characteristics in Ireland. Eur J Ob- stet Gynecol Reprod Biol 2016; 207:56.
21. Friedman AM, Wright JD, Ananth CV, et al. Population-based risk for peripartum hyster- ectomy during low- and moderate-risk delivery hospitalizations. Am J Obstet Gynecol 2016; 215:640.e1.
22. Cromi A, Candeloro I, Marconi N, et al. Risk of peripartum hysterectomy in births after assist- ed reproductive technology. Fertil Steril 2016; 106:623.
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