Emergency peripartum hysterectomy: our experience

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dc.contributor.authorTahaoğlu, Ali Emre
dc.contributor.authorBalsak, Deniz
dc.contributor.authorToğrul, Cihan
dc.contributor.authorObut, Mehmet
dc.contributor.authorTosun, O.
dc.contributor.authorÇavuş, Yunus
dc.contributor.authorBademkıran, Muhammed Hanifi
dc.contributor.authorBudak, Mehmet Şükrü
dc.date.accessioned2019-05-10T09:38:54Z
dc.date.available2019-05-10T09:38:54Z
dc.date.issued2016
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractPurpose: To investigate the incidence of and reasons for emergency peripartum hysterectomy (EPH) between 2009 and 2013 in our hospital, one of the three hospitals with the highest rates of delivery in Turkey. Methods: A retrospective study. Seventy-six peripartum hysterectomies were evaluated. We compared the modes of delivery and examined whether bilateral internal iliac artery ligation was performed. Results: The incidence of EPH was 0.77 in 1000. The majority of cases involved multiparity, uterine rupture, placenta praevia, or placental invasion abnormalities. The most frequent reason for EPH was uterine atony (64.5 %). There was no statistically significant relationship with mode of delivery; however, the complication rate and requirement for fresh frozen plasma were significantly (p < 0.01) related to whether bilateral internal iliac artery ligation was performed. Conclusion: Uterine atony was the most common indication for EPH. The most important step to avoid performing EPH is to calculate patients’ risks for postpartum bleeding. Postpartum haemorrhage may not be preventable, but when it happens, obstetricians must be prepared to perform EPH, and in high-risk patients, to perform internal iliac artery ligation. © 2015, Royal Academy of Medicine in Ireland.
dc.identifier.citationTahaoglu, A. E., Balsak, D., Togrul, C., Obut, M., Tosun, O., Cavus, Y., ... & Budak, S. (2016). Emergency peripartum hysterectomy: our experience. Irish Journal of Medical Science (1971-), 185(4), 833-838.
dc.identifier.doi10.1007/s11845-015-1376-4
dc.identifier.endpage838en_US
dc.identifier.issn0021-1265
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage833en_US
dc.identifier.urihttps://doi.org/10.1007/s11845-015-1376-4
dc.identifier.urihttps://hdl.handle.net/11491/539
dc.identifier.volume185en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer London
dc.relation.ispartofIrish Journal of Medical Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectInternal Iliac Artery Ligationen_US
dc.subjectPeripartum Hysterectomyen_US
dc.subjectPostpartum Haemorrhageen_US
dc.titleEmergency peripartum hysterectomy: our experience
dc.typeArticle

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