Hdl Handle:
http://hdl.handle.net/10147/208045
Title:
Peripartum hysterectomy: an evolving picture.
Authors:
Turner, Michael J
Affiliation:
UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, , Dublin, Ireland. michael.turner@ucd.ie
Citation:
Int J Gynaecol Obstet. 2010 Apr;109(1):9-11. Epub 2010 Feb 20.
Journal:
International journal of gynaecology and obstetrics: the official organ of the, International Federation of Gynaecology and Obstetrics
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/208045
DOI:
10.1016/j.ijgo.2009.12.010
PubMed ID:
20172521
Abstract:
Peripartum hysterectomy (PH) is one of the obstetric catastrophes. Evidence is emerging that the role of PH in modern obstetrics is evolving. Improving management of postpartum hemorrhage and newer surgical techniques should decrease PH for uterine atony. Rising levels of repeat elective cesarean deliveries should decrease PH following uterine scar rupture in labor. Increasing cesarean rates, however, have led to an increase in the number of PHs for morbidly adherent placenta. In the case of uterine atony or rupture where PH is required, a subtotal PH is often sufficient. In the case of pathological placental localization involving the cervix, however, a total hysterectomy is required. Furthermore, the involvement of other pelvic structures may prospectively make the diagnosis difficult and the surgery challenging. If resources permit, PH for pathological placental localization merits a multidisciplinary approach. Despite advances in clinical practice, it is likely that peripartum hysterectomy will be more challenging for obstetricians in the future.
Language:
eng
MeSH:
Female; Humans; Hysterectomy/*trends; Postpartum Hemorrhage/*surgery; Postpartum Period; Pregnancy
ISSN:
1879-3479 (Electronic); 0020-7292 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorTurner, Michael Jen_GB
dc.date.accessioned2012-02-01T10:58:38Z-
dc.date.available2012-02-01T10:58:38Z-
dc.date.issued2012-02-01T10:58:38Z-
dc.identifier.citationInt J Gynaecol Obstet. 2010 Apr;109(1):9-11. Epub 2010 Feb 20.en_GB
dc.identifier.issn1879-3479 (Electronic)en_GB
dc.identifier.issn0020-7292 (Linking)en_GB
dc.identifier.pmid20172521en_GB
dc.identifier.doi10.1016/j.ijgo.2009.12.010en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208045-
dc.description.abstractPeripartum hysterectomy (PH) is one of the obstetric catastrophes. Evidence is emerging that the role of PH in modern obstetrics is evolving. Improving management of postpartum hemorrhage and newer surgical techniques should decrease PH for uterine atony. Rising levels of repeat elective cesarean deliveries should decrease PH following uterine scar rupture in labor. Increasing cesarean rates, however, have led to an increase in the number of PHs for morbidly adherent placenta. In the case of uterine atony or rupture where PH is required, a subtotal PH is often sufficient. In the case of pathological placental localization involving the cervix, however, a total hysterectomy is required. Furthermore, the involvement of other pelvic structures may prospectively make the diagnosis difficult and the surgery challenging. If resources permit, PH for pathological placental localization merits a multidisciplinary approach. Despite advances in clinical practice, it is likely that peripartum hysterectomy will be more challenging for obstetricians in the future.en_GB
dc.language.isoengen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHysterectomy/*trendsen_GB
dc.subject.meshPostpartum Hemorrhage/*surgeryen_GB
dc.subject.meshPostpartum Perioden_GB
dc.subject.meshPregnancyen_GB
dc.titlePeripartum hysterectomy: an evolving picture.en_GB
dc.contributor.departmentUCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, , Dublin, Ireland. michael.turner@ucd.ieen_GB
dc.identifier.journalInternational journal of gynaecology and obstetrics: the official organ of the, International Federation of Gynaecology and Obstetricsen_GB
dc.description.provinceLeinster-

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