Previous caesarean section is an operative risk factor in vaginal hysterectomy

Gynécologie, obstétrique & fertilité
M BoukerrouM Cosson

Abstract

We describe the intra and postoperative frequency of complications in vaginal hysterectomies for benign disorders in patients with a history of caesarean section. Since 1996, 963 hysterectomies have been performed in our institution. 76.94% were performed exclusively by vaginal route (n = 741), 10.1% (n = 98) were by laparoscopic-assisted vaginal route and 12.9%, by pure abdominal route. We compared two groups of patients who underwent vaginal hysterectomy, with or without history of caesarean section. In each group we recorded the characteristics of the population and compared the intra and postoperative data, such as bladder or digestive tract wounds and haemorrhages. We used analysis of variance tests to compare means, chi2-tests and Fisher's exact tests for comparisons of numbers. A probability of P < 0.05 was adopted as the limit of significance. The frequency of haemorrhages was significantly higher in the patients with a history of caesareans. Bladder and intestine injury rates are significantly higher in the previous caesarean section group, but not significant for the bowel injuries. We compared the cumulative frequency of complications between the two groups. In the group with previous caesarean section, we recorded 1...Continue Reading

References

Aug 1, 1995·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S S Sheth, A N Malpani
Dec 17, 1998·American Journal of Obstetrics and Gynecology·J B Unger, G R Meeks
Jul 4, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·P MathevetD Dargent
Sep 28, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M CossonG Crépin

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Citations

Sep 17, 2010·Archives of Gynecology and Obstetrics·Melike DoğanayOrhan Aksakal
Jun 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Filip Claerhout, Jan Deprest
May 5, 2011·Human Reproduction·Tea H I BrummerPäivi Härkki
Apr 2, 2008·Obstetrics and Gynecology·Arnaud Le TohicPatrick Madelenat
Mar 17, 2007·Annals of the New York Academy of Sciences·J A C MartinsT Mascarenhas

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