Anesthetic Management for Emergency Obstetric Hysterectomy.
10.4097/kjae.1995.28.1.164
- Author:
Su Yeon KIM
1
;
Myoung Hee KIM
;
Kyoung Sook CHO
;
Don Haeng CHO
;
Min Koo KIM
Author Information
1. Department of Anesthesiology, CHA Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anesthesia;
Emergency obstetric hysterectomy;
Atony;
Placenta previa
- MeSH:
Anesthesia;
Anesthesia, Epidural;
Anesthesia, General;
Cesarean Section;
Emergencies*;
Female;
Hematocrit;
Hemorrhage;
Humans;
Hysterectomy*;
Intestinal Pseudo-Obstruction;
Length of Stay;
Placenta Previa;
Pregnancy;
Pulmonary Edema;
Urinary Bladder
- From:Korean Journal of Anesthesiology
1995;28(1):164-170
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Emergency hysterectomy has been accepted as a life-saving procedure for patients with bleeding at the time of cesarean section. This study analyzed the patients of emergency obstetric hysterectomy performed at CHA hospital for 4 years from January 1990 to December 1993. During the 4 year study there were 32,090 deliveries, 8021 of which were cesarean sections. 42 emergency obstetric hysterectomies were performed; there were 36 cases after normal spontaneous vaginal delivery and 6 cases after cesarean section. The results of this study were as follows ; 1) 42 patients were evaluated, ranging in age from 23 years to 41 years and averaging 32 years. 2) The most common indications for cesarean hysterectomy were atony (35.7%) and placenta previa and accreta (35.7%). 3) Five patients received continuous epidural anesthesia and three of them with initially satisfactory epidural anesthesia required intraoperative induction of general anesthesia. Other patients received general anesthesia. Mean anesthetic time was 2 hours and 37 minutes. 4) Mean units transfused during operation were 11.1 pints. Mean preoperative hemoglobin and hematocrit were 10.3 g/dl and 31.9%. Mean postoperative hemoglobin and hematocrit were 10.5 g/dl and 33.1%. 5) Complications were found in 6 cases, including bladder injury, bleeding at the vaginal cuff area, pulmonary edema and paralytic ileus. Average hospital stay was 8.8 days.
