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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
Emergency obstetric hysterectomy
Razia Korejo1, Ayesha Nasir, Haleema Yasmin
1Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Centre, Karachi. razia_korejo2000@yahoo.co.in
JPMA. the Journal of the Pakistan Medical Association
|July 23, 2013
Summary
Obstetric hysterectomy, a life-saving procedure, was performed in 1 in 368 deliveries. Key indications included ruptured uterus and postpartum hemorrhage, with significant maternal and perinatal mortality observed.
Area of Science:
- Obstetrics and Gynecology
- Surgical Procedures
- Maternal Health
Background:
- Obstetric hysterectomy is a critical intervention for managing life-threatening obstetric emergencies.
- Understanding its frequency, indications, and outcomes is vital for improving patient care.
Purpose of the Study:
- To determine the frequency of obstetric hysterectomy.
- To identify the primary indications for the procedure.
- To assess associated maternal and perinatal morbidity and mortality.
Main Methods:
- Retrospective observational analytical study.
- Data collected from January 2003 to December 2009 at Jinnah Postgraduate Medical Centre, Karachi.
- Analysis of patient records for demographics, indications, and outcomes; SPSS 13.0 used for statistical analysis.
Main Results:
- Obstetric hysterectomy frequency was 0.27% (1 in 368 deliveries).
- Major indications: ruptured uterus (47.1%) and severe postpartum hemorrhage (28.9%).
- Maternal deaths: 9.0%; perinatal deaths: 53.7%; infection was the most common complication (11.6%).
Conclusions:
- Emergency obstetric hysterectomy is an essential surgical tool for obstetricians.
- Optimal timing, judgment, and surgical technique are crucial for reducing morbidity and mortality.
