Nurullah PEKER
(Dicle Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Diyarbakır, Türkiye)
Gökçe TURAN
(Gazi Üniversitesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)
Edip AYDIN
(Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği, Diyarbakır, Türkiye)
Mustafa YAVUZ
(Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği, Diyarbakır, Türkiye)
Serhat EGE
(Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği, Diyarbakır, Türkiye)
Muhammet Hanifi BADEMKIRAN
(Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği, Diyarbakır, Türkiye)
Talip KARACOR
(Adıyaman Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Adıyaman, Türkiye)
Talip GÜL
(Dicle Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Diyarbakır, Türkiye)
Yıl: 2020Cilt: 47Sayı: 1ISSN: 1300-2945 / 1308-9889Sayfa Aralığı: 122 - 129İngilizce

133 0
Analysis of Patients Undergoing Peripartum Hysterectomy for Obstetric Causes According to Delivery Methods: 13-Year Experience of a Tertiary Center
Objective: The aim of this study was to examine the maternal and fetal outcomes of patients undergoing peripartumhysterectomy (PH) after vaginal delivery (VD) and cesarean section (C/S).Methods: The files of patients undergoing PH following postpartum hemorrhage (PPH) between January 2005 andNovember 2018 were reviewed retrospectively. Patients undergoing PH were divided into two groups as C/S and VD.Age, parity, gestational weeks, time between delivery and hysterectomy, estimated blood loss, duration of operation,number of blood transfusions, hospitalization time, APGAR scores of the fetus at the 1st and 5th minutes, previous C/Shistories, fetal and maternal mortality, indications for PH, additional surgeries performed during PH, and pre-op and postop complications were recorded retrospectively and the groups were compared.Results: A total of 147 patients who underwent PH for postpartum PPH were identified. Of the patients included in thestudy, 77 underwent PH after VD and 70 underwent PH after C/S. There was no statistically significant difference betweenthe groups in terms of age, parity, time between delivery and hysterectomy, estimated blood loss, number of bloodtransfusions, hospitalisation time, and maternal mortality rates. The gestational weeks of the patients in the VD groupwere higher than that of the patients in the C/S group (P = 0.003). Mean duration of operation of the C/S group was longerthan that of the VD group (P ˂ 0.001). APGAR scores of the fetus at the 1st and 5th minutes were higher in the VD groupcompared to the C/S group (P ˂0.001, P ˂0.001, respectively). The most common indication for PH was uterine atony inthe VD group (n: 54, 70.1%) and uterine rupture in the C/S group (n: 24, 34.2%). Disseminated intravascularcoagulopathy (DIC) was the most common complication in both groups. Conclusion: While fetal mortality and morbidity are higher in patients undergoing hysterectomy after C/S, long-termeffects caused by C/S (previous C/S, placenta accreta, placenta previa) increase PH risk. However, it should also beconsidered that PH risk may increase after VD as well.
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