The effect of surgical procedure on surgical outcomes in patients undergoing emergency peripartum hysterectomy: a retrospective

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dc.authorid0000-0002-3285-9990en_US
dc.authorid0000-0003-4618-8312en_US
dc.contributor.authorBülbül, Mehmet
dc.contributor.authorKaraçor, Talip
dc.contributor.authorPeker, Nurullah
dc.contributor.authorNacar, Mehmet Can
dc.contributor.authorOkutucu, Gülcan
dc.date.accessioned2022-06-16T06:39:34Z
dc.date.available2022-06-16T06:39:34Z
dc.date.issued2021en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalıen_US
dc.descriptionWOS:000623754000001
dc.descriptionPMID: 33645414
dc.description.abstractObjective To investigate the effect of surgical procedure on the operation's results in patients undergoing emergency peripartum hysterectomy (EPH). Methods The records of patients who underwent EPH due to postpartum hemorrhage between 2010 and 2020 in two tertiary centers with a high crude delivery rate were retrospectively analyzed. Surgical data were compared according to the EPH type. Results During the study period, 115,709 births occurred in these two centers. EPH was administered for 181 (1.6%) of these patients. Sixty-seven (37%) of the EPH cases involved subtotal EPH (SEPH), and 114 (63%) were total EPH (TEPH). Surgical time (107.3 +/- 17.6 vs. 134.2 +/- 32.3 min, p < 0.001), erythrocyte transfusion count (2.6 +/- 1.3 vs. 4.3 +/- 6.2, p < 0.001), ureter injury (0.0 vs. 7.9%), bladder injury (1.5 vs. 28.1%), disseminated intravascular coagulation (1.5 vs. 9.6%), need for relaparotomy (4.5 vs. 14%), and intensive care unit admission (19.4 vs. 52.6%) were found to be higher in the TEPH group compared to the SEPH group (p < 0.05). In addition, the total length of hospitalization was longer in the TEPH group (4.5 +/- 2.3 vs. 6.1 +/- 4.6 day, p = 0.011). Conclusion According to the results, if the bleeding in peripartum hemorrhage requiring EPH can be controlled with SEPH, attempting to remove the cervix completely may be associated with increased surgical time, blood transfusion need, and surgical complications.en_US
dc.identifier.citationBülbül, M., Karaçor, T., Peker, N., Nacar, M.C. ve Okutucu, G. (2021). The effect of surgical procedure on surgical outcomes in patients undergoing emergency peripartum hysterectomy: a retrospective multicenter study. The Journal of Maternal-Fetal & Neonatal Medicine, Early Accessen_US
dc.identifier.doi10.1080/14767058.2021.1892634
dc.identifier.issn1476-7058
dc.identifier.issn1476-4954
dc.identifier.pmid33645414
dc.identifier.scopus2-s2.0-85101908652
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://www.tandfonline.com/doi/full/10.1080/14767058.2021.1892634
dc.identifier.urihttps://hdl.handle.net/11468/10000
dc.identifier.volumeEarly Accessen_US
dc.identifier.wosWOS:000623754000001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorPeker, Nurullah
dc.institutionauthorOkutucu, Gülcan
dc.language.isoenen_US
dc.publisherTaylor & Francisen_US
dc.relation.ispartofThe Journal of Maternal-Fetal & Neonatal Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEmergency peripartum hysterectomyen_US
dc.subjectPostpartum hemorrhageen_US
dc.subjectSubtotal hysterectomyen_US
dc.subjectSurgery complicationsen_US
dc.subjectTotal hysterectomyen_US
dc.titleThe effect of surgical procedure on surgical outcomes in patients undergoing emergency peripartum hysterectomy: a retrospectiveen_US
dc.titleThe effect of surgical procedure on surgical outcomes in patients undergoing emergency peripartum hysterectomy: a retrospective
dc.typeArticleen_US

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