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Updated: May 10, 2026
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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Caesarean hysterectomy
T C Okeke1, C C Ezenyeaku, L C Ikeako
1Department of Obstetrics & Gynaecology, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria. ubabiketochukwu@yahoo.com
Summary
Caesarean hysterectomy is a rare but life-saving emergency obstetric procedure. Training and mastery are crucial for obstetricians to effectively manage this critical surgery and improve maternal outcomes.
Area of Science:
- Obstetrics and Gynaecology
- Surgical Procedures
Background:
- Caesarean hysterectomy is an emergency obstetric procedure primarily used to manage uncontrollable maternal hemorrhage.
- While sometimes elective, it is most frequently an emergency operation to preserve maternal life.
Purpose of the Study:
- To ensure adequate training and proficiency in caesarean hysterectomy for Obstetrics and Gynaecology residents in Nigeria.
- To highlight the importance of mastering this emergency procedure for all practicing obstetricians.
Main Methods:
- A literature review was conducted using Medline searches.
- Pertinent references and internet services were utilized to gather information on caesarean hysterectomy.
Main Results:
- The incidence of emergency caesarean hysterectomy ranges from 0.01% to 0.05%.
- The maternal mortality rate associated with caesarean hysterectomy is 0.7%, significantly higher than the 0.05% for all caesarean sections.
- Total hysterectomy is preferred, but subtotal hysterectomy may be a safer option for inexperienced surgeons, with careful consideration of residual cervical stump issues.
Conclusions:
- Caesarean hysterectomy, despite its rarity, is a vital life-saving intervention in obstetric emergencies.
- Adequate training, exposure, and mastery of this procedure are essential for residents and all obstetricians.
