Abstract

SUAREZ GONZALEZ, Juan Antonio et al. Obstetric hysterectomy as a safe therapy in the extremely severe morbidity. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.4, pp. 481-488. ISSN 0138-600X.

Introduction: the obstetric hysterectomy is defined as the removal of uterus after an obstetric event, therapeutic option linked to stages of extremely severe obstetric morbidity. Objective: to determine the obstetric and general features in a group of patients presenting with an extremely severe obstetric morbidity underwent to obstetric hysterectomy. Methods: a cross-sectional and descriptive study was conducted from January, 2007 to December, 2009 in the "Mariana Grajales"Gynecology and Obstetrics Hospital of Santa Clara, Villa Clara province. The medical records of l71 patients were reviewed who underwent obstetric hysterectomy. Incidence was estimated identifying the clinical and obstetric features, the relation with the type of labor and the main anatomical-pathological findings associated with obstetric hysterectomy. Results: an obstetric hysterectomy was performed by 463 labors. The mean age of patients was of 33.8 ± 6.78 years. The 78.6 % had a history of cesarean section. There was predominance of abdominal total hysterectomy in the 63.3 % of the sample and in 27 patients ligatures of hypogastric arteries were performed (38 %). It was necessary the admission in intensive therapy service of the 69 % of hysterectomy patients during this past year in the province. Conclusions: the obstetric hysterectomy is a therapeutic option associated with the extremely severe obstetric morbidity, where a timely action, a technical mastery and fulfilling the pertinent indications, it become a tool to guarantee the life of many patients in critical situations.

Keywords : obstetric hysterectomy; cesarean section; hemorrhage.

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