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Clinicopathologic Correlation of the Uterus Removed for Postpartum Hemorrhage

Other Title
산후 출혈로 적출된 자궁에 대한 임상 및 병리학적 고찰
Authors
양, 정인; 주, 희재; 김, 종한; 김, 행수; 장, 기홍; 권, 혁찬; 유, 희석; 심, 철; 오, 기석
Citation
Ajou medical journal, 1(1):315-321, 1996
Journal Title
Ajou medical journal; 아주의학
ISSN
1226-3265
Abstract
A retrospective clinicopathologic review of 13 women who taken postpartum hysterectomy at Ajou University Hospital during 18 months from June 1994 to Dec. 1995 is presented. The results obtained are as follows:

1) There were 2,577 deliveries during this period.

2) Postpartum hysterectomy was performed in 13 cases, an incidence of 0.5%, following 5 cases of vaginal delivery(0.3 %) and 8 cases of cesarean delivery.

3) The indication for postpartum hysterectomy were 9 cases of uterine atony(69.2%), 2 cases of placenta previa(15.4%) and I case of placenta accreta, 1 case of abruptio placenta, respectively.

4) The relationship of 13 postpartum hysterectomy cases between preoperative clinical indication and pathologic diagnosis were as follows : among the 9 cases of preoperative uterine atony, the pathologic diagnosis consisted of 6 cases of subinvolution, 2 cases of placenta accreta and 1 case of amniotic fluid embolism. Two cases of placenta previa in preoperative indication were associated with placenta accreta in pathologic examination.

Especially, one case of abruptio placenta was revealed to be diffuse intramyometrial massive hemorrhage in pathologic diagnosis.

5) The 11 cases(84.6%) experienced postoperative complications, most common complication being febrile morbidity(41.9%) followed by disseminated intravascular coagulopathy(29.2%), superficial wound infection (12.5%) and pleural effusion(8.3%), without maternal mortality.
Keywords
Postpartum hemorrhageHysterectomPathologic diagnosis
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
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