Cesarean hysterectomy: a twenty-five-year review

Area of Science:

• Obstetrics and Gynecology
• Surgical Procedures

Background:

• Cesarean hysterectomy, a procedure involving hysterectomy during cesarean delivery, has evolved over time.
• Understanding historical trends and indications is crucial for current obstetric practice.

Purpose of the Study:

• To analyze cesarean hysterectomies performed between 1953 and 1977.
• To evaluate trends, indications, and complications associated with this procedure over a 25-year period.

Main Methods:

• Retrospective analysis of 149 cesarean hysterectomies at Louisville General Hospital.
• Categorization of procedures into emergency (26) and elective (123) based on medical indications.

Main Results:

• Over 25 years, 149 cesarean hysterectomies occurred among 63,259 deliveries.
• The majority of cesarean hysterectomies (123) were elective, while 26 were emergency procedures.
• Operative and postoperative complications and morbidity were evaluated.

Conclusions:

• Cesarean hysterectomy practices and indications have shifted over the analyzed decades.
• The study provides insights into the historical role and outcomes of cesarean hysterectomy in obstetrics.