Planned cesarean hysterectomy: A preferred alternative to separate operations.

Publication/Presentation Date

6-1-1999

Abstract

OBJECTIVE: The aim of this study was to evaluate our institutional experience with planned cesarean hysterectomy.

STUDY DESIGN: In this retrospective case-control investigation of a 16-year experience, 100 pregnant women who underwent planned cesarean hysterectomy were compared with 37 patients who underwent cesarean delivery followed by a hysterectomy performed within 6 months.

RESULTS: Women undergoing planned cesarean hysterectomy did not have any demonstrable increase in intraoperative or postoperative complications when compared with the cesarean delivery plus later hysterectomy group. Primarily as a result of significantly reduced hospital stay and shorter total operative time, there was a significant financial advantage associated with a single planned cesarean hysterectomy with respect to separate operations.

CONCLUSIONS: A policy to undertake planned cesarean hysterectomy for carefully selected patients appeared to produce advantages without increasing risks for these patients. Secondarily, it provided resident physicians the opportunity to learn the operation with supervision and under controlled circumstances.

Volume

180

Issue

6 Pt 1

First Page

1385

Last Page

1393

ISSN

0002-9378

Disciplines

Medicine and Health Sciences

PubMedID

10368475

Department(s)

Department of Obstetrics and Gynecology

Document Type

Article

Share

COinS