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Updated: May 18, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
[Emergency peripartum hysterectomy: indications and prognosis]
Nabil Mathlouthi1, Haikel Trabelsi, Sonia Zayen
1Service de gynecologie obstitrique, CHU Hddi Chaker, Sfax, Tunisie.
Aim:
Detect the risk factors, indications and maternal morbidity of haemostatic hysterectomy.
Methods:
A retrospective study of 46 women who had haemostatic hysterectomy between 2005 and 2009.
Results:
The mean age was 33.3 years. The mean parity was 3.5. 35% of patients had a previous cesarean section. The mode of delivery was: vaginal delivery (47.8%), cesarean delivery (52.2 %). The hysterectomy was subtotal in 39 cases (85%). The indications of haemostatic hysterectomy was: uterine inertia (44%), disseminated intravascular coagulation (26%), placenta accreta (8.7%), Placenta praevia (13%), uterine rupture (8.7%).Three patients were dead. Five patients had a depression. Six patients had a dyspareunia. Five patients had a decrease of sexual desire.
Conclusion:
Haemostatic hysterectomy is a mutilating surgery giving an irreversible infertility. The development of arterial embolization avoid the appeal to this surgery.
