46. SURGICAL OUTCOMES OF CESAREAN HYSTERECTOMY DURING AND AFTER DELIVERY AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL

Do Tuan Dat1,2, Nguyen Duy Hung2, Dinh Thi Thu Trang3, Phan Thi Huyen Thuong1,3
1 Hanoi Obstetrics and Gynecology Hospital
2 Hanoi Medical University
3 VNU University of Medicine and Pharmacy

Main Article Content

Abstract

Objective: To analyze the results of cesarean hysterectomy during and after delivery at Hanoi Obstetrics and Gynecology Hospital from January 2019 to December 2023.


Materials and method: A retrospective descriptive cross-sectional study of 276 cases of cesarean hysterectomy during and after delivery at Hanoi Obstetrics and Gynecology Hospital from 2019 to 2023.


Results: The primary method of cesarean hysterectomy was subtotal hysterectomy (97.1%), with the preservation of both adnexa in 98.9% of cases. The average blood loss was 1803 ± 120 ml. A total of 222 cases required blood transfusions, with an average of 2216 ± 2285 ml of blood transfused. The average duration of surgery was 88.1 ± 52.1 minutes. The average length of hospital stay after the hysterectomy was 6.2 ± 2.4 days.


Conclusion: Cesarean hysterectomy during and after delivery is a major surgery with high risks. Obstetric surgeons must always be prepared for a hysterectomy and make early decisions to minimize blood loss and prevent complications.

Article Details

References

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