Narodna in univerzitetna knjižnica, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Poporodna histerektomija = Postpartum hysterectomy
    Juvan Kramer, Katja, ginekologinja, 1971- ...
    Background. Emergency postpartum hysterectomy (PH) is generally performed in the situation of life threatening haemorrhage. Incidence according to the literature is between 1/300 and 1/5000 labours. ... The leading cause in developedworld is placenta accreta. Besides standard methods (aplication of drugs, revision of uterus, bimanual compression of uterus etc.), conservativesurgical methods and embolization of vessels are increasingly used. We wanted to establish the incidence of PH in the Ljubljana Maternity Hospital, use of conservative surgical methods and matching of histological and operative diagnosis. We wanted to check the possibilities for embolizationof vessels. Methods. Retrospective analysis of PH in the years 1992-2002 in the Ljubljana Maternity Hospital was done and the incidence of PHwas calculated. We analysed patients regarding indications for PH, sort of operation and matching of histological and operative diagnose. We checked the possibilities for embolization of uterine vessels. Results. In the mentioned period 20 labours ended with PH (incidence 1/3124 labours). 17 patients were multiparas, PH was done after caesarean section in 9 cases. The mostcommon indication was rupture of the uterus (6 cases), followed by inflammation of the uterus (5 cases) and atony (4 cases). Among conservative methods, application of 15-metil PGF2alpha and oxytocin were most commonly used, the next two were manual exploration of uterine cavity and uterine packing. None of conservative surgical methods were used. Histological and operative diagnosis matched in 16 cases. There were no maternal and neonatal deaths. Conclusions. The incidence of PH in the Ljubljana Maternity Hospital is low. The leading two causes are uterine rupture and inflammation of uterus. None ofconservative surgical methods were used. There are good possibilities for embolization of uterine vessels.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 75, št. 1, 2006, str. 17-21)
    Vrsta gradiva - članek, sestavni del
    Leto - 2006
    Jezik - slovenski
    COBISS.SI-ID - 20688601

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    Digitalna knjižnica Slovenije - dLib.si

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