Previous cesarean section. A contraindication to vaginal hysterectomy?

Autor:	Poindexter YM; Department of Obstetrics and Gynecology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA., Sangi-Haghpeykar H, Poindexter AN 3rd, Thomakos N, Young RL, Fine PM, Miller HJ
Jazyk:	angličtina
Zdroj:	The Journal of reproductive medicine [J Reprod Med] 2001 Sep; Vol. 46 (9), pp. 840-4.
Abstrakt:	Objective: To compare surgical outcomes of vaginal hysterectomy between women who have had one or more cesarean deliveries and those who have not. Study Design: A retrospective, chart review study was performed on women undergoing vaginal hysterectomy during a four-year period. Of 275 women who met the study criteria, 104 had a history of previous cesarean deliveries, and 171 did not. The groups were compared for indications for surgery, operative time, length of hospitalization and surgical complications. Results: Previous cesarean delivery did not affect hemoglobin loss, hospital stay or operative time among women undergoing vaginal hysterectomy. The complication rate (either operative or postoperative) was 12.3% among women without a history of cesarean section, 6.8% among those with one, 3.7% among those with two and 11.1% among those with three or more (chi 2 = 2.8, P = .4). The odds for surgical complications were not significantly different between women with one or more prior cesarean deliveries as compared to those without after adjustment for possible confounders. Conclusion: Surgical complications with vaginal hysterectomy do not appear to be higher among women with a prior cesarean section as compared to those without a history of such operation.
Databáze:	MEDLINE
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