Challenges in emergency peripartum hysterectomy in initial phase of obstetrics practice: series of 9 cases

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dc.contributor.authorDeka, Ranimaen_US
dc.date.accessioned2020-10-16T07:57:33Z
dc.date.available2020-10-16T07:57:33Z
dc.date.issued2019-07
dc.description.abstractEmergency peripartum hysterectomy (EPH) is usually done to control bleeding of life threatening peripartum haemorrhage when all of all conservative measures fail. It is a technically demanding surgical procedure that carries high rate morbidity and mortality. From January 2016 to January 2019 data of all EPH done by our in different hospital of the city is collected. Total of 9 patients fulfil the definition of EPH. We tried with all sorts as bimanual uterine compression, administration of oxytocin or prostaglandins, uterine packing, compression sutures such as the B-Lynch brace suture before operation to controlled haemorrhage. On failure of the above mentioned measure we plan EPH. We took help of a surgeon in all of 9 cases. Bleeding is the greatest challenge in our series. Out of 9 patient 8 patient survived, one patient died of bleeding due to DIC. There is one urinary bladder injury and repaired intraoperatively. All patient has minor wound infection and that was managed with oral antibiotics and wound dressings. Postoperative average ICU stay was 3 days. Average PRBC transfusion is 4 units and two patient required FFP transfusion. In one patient we did subtotal hysterectomy and in rest all other patient we did total hysterectomy. With good team work EPH can be done with acceptable morbidity and mortality.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, GNRC Hospital, Sixmile, Guwahati, Assam, Indiaen_US
dc.identifier.citationDeka Ranima. Challenges in emergency peripartum hysterectomy in initial phase of obstetrics practice: series of 9 cases. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Jul; 8(7): 2949-2953en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206901
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber7en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20193078en_US
dc.subjectCoagulopathyen_US
dc.subjectPeripartum hysterectomyen_US
dc.subjectPeripartum haemorrhageen_US
dc.subjectTransfusionen_US
dc.subjectUterine ruptureen_US
dc.subjectUterine atonyen_US
dc.titleChallenges in emergency peripartum hysterectomy in initial phase of obstetrics practice: series of 9 casesen_US
dc.typeJournal Articleen_US
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