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Year 2012, Volume: 34 Issue: 2, 194 - 201, 12.01.2012

Abdullah Boztosun , Ahmet Mutlu Yasin Bıyık Hidayet Yeniocak Ali Yanık

Abstract

References

  • Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet 2006; 367: 1066-74.
  • Knight M, Callaghan WM, Berg C, Alexander S, Bouvier-Colle MH, Ford JB, Joseph KS, Lewis G, Liston RM, Roberts CL, Oats J, Walker J. Trends in postpartum hemorrhage in high resource countries: a review and recommendations from the International Postpartum Hemorrhage Collaborative Group. BMC Pregnancy Childbirth 2009; 9: 55.
  • Keleş GT, Topçu İ, Kefi A, Ekici Z, Sakarya M. Yoğun bakım ünitesinde obstetrik olgular. Fırat Tıp Dergisi 2006; 11: 62-5.
  • Lombaard H, Pattinson RC. Common errors and remedies in managing postpartum haemorrhage. Best Pract Res Clin Obstet Gynaecol 2009; 23: 317-26.
  • Morel O, Malartic C, Muhlstein J, Gayat E, Judlin P, Soyer P, Barranger E. Pelvic arterial ligations for severe post-partum hemorrhage. Indications and techniques. J Visc Surg 2011; 148: e95-102.
  • Drife J. Management of primary postpartum haemorrhage. Br J Obstet Gynaecol 1997; 104: 275-7.
  • Chang J, Elam-Evans LD, Berg CJ, Herndon J, Flowers L, Seed KA, Syverson CJ. Pregnancy-related mortality surveillance--United States, 1991-1999. MMWR Surveill Summ 2003; 52: 1-8.
  • State of California, Department of Public Health, California Birth and Death Statistical Master Files, 1991-2004.
  • Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 2005; 192: 1458-61.
  • Silver RM, Landon MB, Rouse DJ, Leveno KJ, Spong CY, Thom EA, Moawad AH, Caritis SN, Harper M, Wapner RJ, Sorokin Y, Miodovnik M, Carpenter M, Peaceman AM, O'Sullivan MJ, Sibai B, Langer O, Thorp JM, Ramin SM, Mercer BM; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol 2006; 107: 1226-32.
  • Oyelese Y, Smulian JC. Placenta previa, placenta accreta, and vasa previa. Obs tet Gynecol 2006; 107: 927-41.
  • Hudon L, Belfort MA, Broome DR. Diagnosis and management of placenta percreta: a review. Obstet Gynecol Surv 1998; 53: 509-17.
  • Palacios-Jaraquemada JM. Diagnosis and management of placenta accreta. Best Pract Res Clin Obstet Gynaecol 2008; 22: 1133-48.
  • Palacios Jaraquemada JM, Pesaresi M, Nassif JC, Hermosid S. Anterior placenta percreta: surgical approach, hemostasis and uterine repair. Acta Obstet Gynecol Scand 2004; 83: 738-44.
  • O’Brien JM, Barton JR, Donaldson ES. Obstetrics: the management of placenta percreta: conservative and operative strategies. Am J Obstet Gynecol 1996; 175: 1632-8.
  • Erdemoğlu M, Kale A, Akdeniz N. Obstetrik Nedenlerle Acil Histerektomi Yapılan 52 Olgunun Analizi. Dicle Tıp Dergisi 2006; 33: 227-30.
  • Kacmar J, Bhimani L, Boyd M, Shah-Hosseini R, Peipert J. Route of delivery as a risk factor for emergent peripartum hysterectomy: a case-control study. Obstet Gynecol 2003; 102: 141-5.
  • Forna F, Miles AM, Jamieson DJ. Emergency peripartum hysterectomy: a comparison of cesarean and postpartum hysterectomy. Am J Obstet Gynecol 2004; 190: 1440-4.
  • Francois K, Ortiz J, Harris C, Foley MR, Elliott JP. Is peripartum hysterectomy more common in multiple gestations? Obstet Gynecol 2005; 105: 1369-72.
  • Bodelon C, Bernabe-Ortiz A, Schiff MA, Reed SD. Factors associated with peripartum hysterectomy. Obstet Gynecol 2009; 114: 115-23.
  • Awan N, Bennett MJ, Walters WA. Emergency peripartum hysterectomy: a 10-year review at the Royal Hospital for Women, Sydney. Aust N Z J Obstet Gynaecol 2011; 51: 210-5.
  • Chelli D, Boudaya F, Dimassi K, Gharbi B, Najjar I, Sfar E, Chanoufi MB, Chelli H. Hypogastric artery ligation for post-partum hemorrhage. 4. J Gynecol Obstet Biol Reprod (Paris) 2010; 39: 43-9.
  • Unal O, Kars B, Buyukbayrak EE, Karsidag AY, Turan C. The effectiveness of bilateral hypogastric artery ligation for obstetric hemorrhage in three different underlying conditions and its impact on future fertility. J Matern Fetal Neonatal Med 2011; 24: 1273-6.
  • Ganguli S, Stecker MS, Pyne D, Baum RA, Fan CM. Uterine artery embolization in the treatment of postpartum uterine hemorrhage. J Vasc Interv Radiol 2011; 22: 169-76.
  • Hansch E, Chitkara U, McAlpine J, El-Sayed Y, Dake MD, Razavi MK. Pelvic arterial embolization for control of obstetric hemorrhage: a five-year experience. Am J Obstet Gynecol 1999; 180: 1454-60.
  • Fargeaudou Y, Morel O, Soyer P, Gayat E, Sirol M, Boudiaf M, Dahan H, Barranger E, Mebazaa A, le Dref O. Persistent postpartum haemorrhage after failed arterial ligation: value of pelvic embolisation. Eur Radiol 2010; 20: 1777-85.

Doğum sonrası kanaması olan olgularda intraabdominal cerrahi yaklaşımların değerlendirilmesi

Year 2012, Volume: 34 Issue: 2, 194 - 201, 12.01.2012

Abdullah Boztosun , Ahmet Mutlu Yasin Bıyık Hidayet Yeniocak Ali Yanık

Abstract

Amaç. Kliniğimizde doğum sonrası kanama nedeni ile cerrahi müdahale yapılan hastalarımızın incelenmesi amaçlandı. Yöntem. Ocak 2009 ile Aralık 2011 tarihleri arasında kliniğimizde intraabdominal cerrahi yaklaşımla müdahale edilen doğum sonrası kanamalı olgular geriye dönük olarak değerlendirildi. Bulgular. Doğum sonrası kanamalı 44 hastadan 10’unda (%22.8) vajinal doğum sonrasında, 34’ünde (%77,2) sezaryen esnasında veya sonrasında intraabdominal cerrahi müdahale uygulandı. Doğum sonrası kanamaya bağlı maternal mortalite oranımız %0,017 olarak bulundu. Histerektomi ve bilateral hipogastrik arter ligasyonu %31,8 oranları ile ilk tercih edilen yaklaşımlar olurken, atoni (% 47.7) ve plasenta previa (% 25) en sık kanama sebepleri olarak bulundu. Tüm hastalar için histerektomi oranımız %47,7 olarak bulundu. Histerektomi operasyonunun atoni haricindeki diğer kanama sebeplerinde %62,5 oranında tercih edildiği, atonili hastalarda ise %30 oranında tercih edildiği ve bu oranların anlamlı olduğu görüldü (p=0,032). Plasental yapışma anomalisi ve plasenta previa bulunan olgularda sezaryen sayısı diğer hastalara göre anlamlı yüksekti (1,23±1,14’e karşı 0,55±0,75; p=0.043). 043). Sonuç: Doğum sonrası kanamalı hastalarımızda histerektomi oranımız yüksek bulundu. Bu yüksek oran, sezaryen sayısının artması ile ilişkili plasental yapışma anormallikleri ile izah edilebilir. Bu nedenle doğum sonrası kanamanın primer önlenmesi için sezaryen oranlarının azaltılması belki de en etkili yol olacaktır. Bununla birlikte histerektomi konservatif tedavilerin başarısızlığında başvurulacak son yöntem olmalıdır.

Keywords

Doğum sonrası kanama yönetim histerektomi bilateral hipogastrik arter ligasyonu B-Lynch

References

  • Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet 2006; 367: 1066-74.
  • Knight M, Callaghan WM, Berg C, Alexander S, Bouvier-Colle MH, Ford JB, Joseph KS, Lewis G, Liston RM, Roberts CL, Oats J, Walker J. Trends in postpartum hemorrhage in high resource countries: a review and recommendations from the International Postpartum Hemorrhage Collaborative Group. BMC Pregnancy Childbirth 2009; 9: 55.
  • Keleş GT, Topçu İ, Kefi A, Ekici Z, Sakarya M. Yoğun bakım ünitesinde obstetrik olgular. Fırat Tıp Dergisi 2006; 11: 62-5.
  • Lombaard H, Pattinson RC. Common errors and remedies in managing postpartum haemorrhage. Best Pract Res Clin Obstet Gynaecol 2009; 23: 317-26.
  • Morel O, Malartic C, Muhlstein J, Gayat E, Judlin P, Soyer P, Barranger E. Pelvic arterial ligations for severe post-partum hemorrhage. Indications and techniques. J Visc Surg 2011; 148: e95-102.
  • Drife J. Management of primary postpartum haemorrhage. Br J Obstet Gynaecol 1997; 104: 275-7.
  • Chang J, Elam-Evans LD, Berg CJ, Herndon J, Flowers L, Seed KA, Syverson CJ. Pregnancy-related mortality surveillance--United States, 1991-1999. MMWR Surveill Summ 2003; 52: 1-8.
  • State of California, Department of Public Health, California Birth and Death Statistical Master Files, 1991-2004.
  • Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 2005; 192: 1458-61.
  • Silver RM, Landon MB, Rouse DJ, Leveno KJ, Spong CY, Thom EA, Moawad AH, Caritis SN, Harper M, Wapner RJ, Sorokin Y, Miodovnik M, Carpenter M, Peaceman AM, O'Sullivan MJ, Sibai B, Langer O, Thorp JM, Ramin SM, Mercer BM; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol 2006; 107: 1226-32.
  • Oyelese Y, Smulian JC. Placenta previa, placenta accreta, and vasa previa. Obs tet Gynecol 2006; 107: 927-41.
  • Hudon L, Belfort MA, Broome DR. Diagnosis and management of placenta percreta: a review. Obstet Gynecol Surv 1998; 53: 509-17.
  • Palacios-Jaraquemada JM. Diagnosis and management of placenta accreta. Best Pract Res Clin Obstet Gynaecol 2008; 22: 1133-48.
  • Palacios Jaraquemada JM, Pesaresi M, Nassif JC, Hermosid S. Anterior placenta percreta: surgical approach, hemostasis and uterine repair. Acta Obstet Gynecol Scand 2004; 83: 738-44.
  • O’Brien JM, Barton JR, Donaldson ES. Obstetrics: the management of placenta percreta: conservative and operative strategies. Am J Obstet Gynecol 1996; 175: 1632-8.
  • Erdemoğlu M, Kale A, Akdeniz N. Obstetrik Nedenlerle Acil Histerektomi Yapılan 52 Olgunun Analizi. Dicle Tıp Dergisi 2006; 33: 227-30.
  • Kacmar J, Bhimani L, Boyd M, Shah-Hosseini R, Peipert J. Route of delivery as a risk factor for emergent peripartum hysterectomy: a case-control study. Obstet Gynecol 2003; 102: 141-5.
  • Forna F, Miles AM, Jamieson DJ. Emergency peripartum hysterectomy: a comparison of cesarean and postpartum hysterectomy. Am J Obstet Gynecol 2004; 190: 1440-4.
  • Francois K, Ortiz J, Harris C, Foley MR, Elliott JP. Is peripartum hysterectomy more common in multiple gestations? Obstet Gynecol 2005; 105: 1369-72.
  • Bodelon C, Bernabe-Ortiz A, Schiff MA, Reed SD. Factors associated with peripartum hysterectomy. Obstet Gynecol 2009; 114: 115-23.
  • Awan N, Bennett MJ, Walters WA. Emergency peripartum hysterectomy: a 10-year review at the Royal Hospital for Women, Sydney. Aust N Z J Obstet Gynaecol 2011; 51: 210-5.
  • Chelli D, Boudaya F, Dimassi K, Gharbi B, Najjar I, Sfar E, Chanoufi MB, Chelli H. Hypogastric artery ligation for post-partum hemorrhage. 4. J Gynecol Obstet Biol Reprod (Paris) 2010; 39: 43-9.
  • Unal O, Kars B, Buyukbayrak EE, Karsidag AY, Turan C. The effectiveness of bilateral hypogastric artery ligation for obstetric hemorrhage in three different underlying conditions and its impact on future fertility. J Matern Fetal Neonatal Med 2011; 24: 1273-6.
  • Ganguli S, Stecker MS, Pyne D, Baum RA, Fan CM. Uterine artery embolization in the treatment of postpartum uterine hemorrhage. J Vasc Interv Radiol 2011; 22: 169-76.
  • Hansch E, Chitkara U, McAlpine J, El-Sayed Y, Dake MD, Razavi MK. Pelvic arterial embolization for control of obstetric hemorrhage: a five-year experience. Am J Obstet Gynecol 1999; 180: 1454-60.
  • Fargeaudou Y, Morel O, Soyer P, Gayat E, Sirol M, Boudiaf M, Dahan H, Barranger E, Mebazaa A, le Dref O. Persistent postpartum haemorrhage after failed arterial ligation: value of pelvic embolisation. Eur Radiol 2010; 20: 1777-85.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Surgical Science Research Articles
Authors

Abdullah Boztosun

Ahmet Mutlu

Yasin Bıyık

Hidayet Yeniocak

Ali Yanık

Publication Date January 12, 2012
Published in Issue Year 2012Volume: 34 Issue: 2

Cite

AMA Boztosun A, Mutlu A, Bıyık Y, Yeniocak H, Yanık A. Doğum sonrası kanaması olan olgularda intraabdominal cerrahi yaklaşımların değerlendirilmesi. CMJ. June 2012;34(2):194-201.