1

Proje Sayısı

0

Aldığı Atıf Sayısı

1

h-index

1

Kendine Atıf Sayısı

0

Kendine Atıf Oranı(%)

0,00

Yayın ve Atıf Sayıları

Kurum İşbirliği

Kurum	Yayın Sayısı
ADIYAMAN ÜNİVERSİTESİ	1
DİCLE ÜNİVERSİTESİ	1
GAZİ ÜNİVERSİTESİ	1
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ	1

Yazar İş birliği - Yazarlar


1. Analysis of Patients Undergoing Peripartum Hysterectomy for Obstetric Causes According to Delivery Methods: 13-Year Experience of a Tertiary Center Nurullah PEKER , Gökçe TURAN , Edip AYDIN , Mustafa YAVUZ , Serhat EGE , Muhammet Hanifi BADEMKIRAN , Talip KARACOR , Talip GÜL Nurullah PEKER , Gökçe TURAN , Edip AYDIN , Mustafa YAVUZ , Serhat EGE , Muhammet Hanifi BADEMKIRAN , ... Devamını oku Dicle Tıp Dergisi Yıl: 2020 Cilt: 47 Sayı: 1 Sayfa Aralığı: 122 - 129 Doküman Tipi: Makale 1 ATIF ÖZ 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.

Nurullah PEKER , Gökçe TURAN , Edip AYDIN , Mustafa YAVUZ , Serhat EGE , Muhammet Hanifi BADEMKIRAN , ... Devamını oku

Dicle Tıp Dergisi

Yıl: 2020 Cilt: 47 Sayı: 1 Sayfa Aralığı: 122 - 129 Doküman Tipi: Makale

1

ATIF

ÖZ

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.