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Updated: Sep 20, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
[Hysterectomy after caesarean section]
Małgorzata Gajewska1, Longin Marianowski, Krystyna Szymańska
1I Katedry I Kliniki Połoznictwa i Ginekologii Akademii Medycznej w Warszawie.
Objectives:
The indications for hysterectomy after caesarean section, postoperative period, and pathological examination of women. In whom hysterectomy hampered operated delivery, are being hereby analysed.
Materials And Methods:
The study group consisted of 15 patients who gave birth in I Clinic Medical Academy in Warsaw in 1995-2001.
Results:
In 7 with 15 women (46.7%) the supravaginal amputation was carried on at the rest in 8 (53.3%), the corpus and cervix of uterine was resected. In pathomorphological examination a trophoblast growth into uterine muscle was found. In 8 women (53.3%). In 5 (33.3%) in histological examination empty vessels were recognized. In one patient (6.7%) carcinoma praeinvasivum of uterine cervix and in one (6.7%) carcinoma of ovary were found.
Conclusions:
Uterine atonia and abnormalities of placentae were the main indications for hysterectomy after delivery.
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