Articles Vol. 66 No. CĐ6-HNKH Bệnh viện Sản nhi Nghệ An 31/05/2025

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

Do Tuan Dat1,2,3,4, Nguyen Duy Hung2,4, Dinh Thi Thu Trang5,6, Phan Thi Huyen Thuong1,3,5,6
1 Hanoi Obstetrics and Gynecology Hospital
2 Hanoi Medical University
3 Bệnh viện Phụ sản Hà Nội
4 Đại học Y Hà Nội
5 VNU University of Medicine and Pharmacy
6 Đại học Y dược - Đại học Quốc gia Hà Nội
Corresponding author: drdodatpshn@gmail.com
DOI: 10.52163/yhc.v66iCD6.2312
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Keywords
hysterectomy outcomes during childbirth after delivery
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.

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