[Hysterectomy after caesarean section].

OBJECTIVES

The indications for hysterectomy after caesarean section, postoperative period, and pathological examination of women. In whom hysterectomy hampered operated delivery, are being hereby analysed.

MATERIALS AND

METHODS

The study group consisted of 15 patients who gave birth in I Clinic Medical Academy in Warsaw in 1995-2001.

RESULTS

In 7 with 15 women (46.7%) the supravaginal amputation was carried on at the rest in 8 (53.3%), the corpus and cervix of uterine was resected. In pathomorphological examination a trophoblast growth into uterine muscle was found. In 8 women (53.3%). In 5 (33.3%) in histological examination empty vessels were recognized. In one patient (6.7%) carcinoma praeinvasivum of uterine cervix and in one (6.7%) carcinoma of ovary were found.

CONCLUSIONS

Uterine atonia and abnormalities of placentae were the main indications for hysterectomy after delivery.