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Incidence, indications, and maternal outcomes of emergency peripartum hysterectomy at a tertiary hospital in Ethiopia: A retrospective review.
Int J Gynaecol Obstet
April 2023
Department of Obstetrics and Gynecology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Article Synopsis
- The study reviewed 4 years of emergency peripartum hysterectomy (EPH) cases at St. Paul's Hospital in Ethiopia, focusing on its incidence, indications, and maternal outcomes.
- Among 39,629 deliveries, the incidence of EPH was found to be 2.6 per 1,000 births, with the primary causes being uterine rupture, uterine atony, and placenta accreta spectrum.
- High complication rates were noted, including anemia, puerperal fever, and acute kidney injury, highlighting the need for better labor management to reduce such occurrences.
Staged laparotomy for acute non-traumatic intra-abdominal emergencies in a tertiary South African unit.
ANZ J Surg
December 2021
Department of Surgery, University of KwaZulu-Natal, Pietermaritzburg, South Africa.
Introduction: Patients undergoing laparotomy for emergency general surgery (EGS) have poor outcomes. Attempts have been made to improve these outcomes by adopting damage control principles known to benefit polytraumatized patients. Studies describing the use of staged laparotomy (SL) in EGS have been modest in size and heterogenous.
View Article and Find Full Text PDFIntrauterine negative-pressure therapy (IU-NPT) to treat peritonitis after caesarean section.
Innov Surg Sci
March 2020
Department for General, Abdominal, Thoracic and Vascular Surgery, Kath. Marienkrankenhaus Hamburg, Hamburg, Germany.
Objectives: We describe the first application of intrauterine negative-pressure therapy (IU-NPT) for an early rupture of a uterine suture after a third caesarean section with consecutive peritonitis and sepsis. Because all four quadrants were affected by peritonitis, a laparotomy was performed on the 15th day after caesarean section. Abdominal negative-pressure wound therapy (A-NPWT) of the open abdomen was initiated.
View Article and Find Full Text PDFObjective: The aim: Elaboration of the complex program of diagnostics and treatment of the polytraumatized overweight patients.
Patients And Methods: Materials and methods: Clinical material was composed of 64 patients with the combined body trauma who suffered from II-III grade obesity.
Results: Results: Main principles of rendering the aid to the polytraumatized overweight patients included the pathophysiological and topographic features of the group.
Low risk of intra-abdominal infections in rectal cancer patients treated with Hartmann's procedure: a report from a national registry.
Int J Colorectal Dis
March 2018
Colorectal Unit, Department of Surgery and Centre for Clinical Research of Uppsala University, Västmanland's Hospital Västerås, SE -72189, Västerås, Sweden.
Purpose: To describe the postoperative surgical complications in patients with rectal cancer undergoing Hartmann's procedure (HP).
Methods: Data were retrieved from the Swedish Colorectal Cancer Registry for all patients with rectal cancer undergoing HP in 2007-2014. A retrospective analysis was performed using prospectively recorded data.
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