Hysterotomy: Difference between revisions

Hysterotomy
Hysterotomy
ICD-9-CM	68.0
MeSH	D020883
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Revision as of 21:53, 25 July 2022

A hysterotomy is an incision in the uterus, and is performed during a caesarean section.^[1] Hysterotomies are also performed during fetal surgery, and various gynaecological procedures.^{[citation needed]}

In fetal surgery, without inhibition of uterine contractions, premature labor is a complication that occurs in 100% of hysterotomy cases.^[2] It can be inhibited by anti-contraction medications.^[3]

Uses

During caesarean section^[1]
During fetal surgery^[4]
Abortion

Risks and complications

A caesarean section is conducted depending on the situation of the mother and fetus during birth and surgeon preferences. The main deciding factor is what the safest route of delivery is for both the mother and the fetus. Complications for the mother include maternal blood loss, maternal postoperative pain, anaemia due to continuing blood loss, postoperative pain, fever and possible wound infection. Postoperative complications for the mother may include breastfeeding issues, difficulty passing urine, future fertility problems and/or complications in future pregnancies including uterine rupture. ^[5]

References

^ ^a ^b Sung, Sharon; Mahdy, Heba (2022), "Cesarean Section", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 31536313, retrieved 2022-03-23
^ Assad, R. S.; Hanley, F. L. (1998). "Artificial placenta--a need for fetal surgery?". The Journal of Thoracic and Cardiovascular Surgery. 115 (5): 1021–1022. doi:10.1016/S0022-5223(98)70400-3. PMID 9605070. "Archived copy". Archived from the original on 2012-07-21. Retrieved 2010-11-28.{{cite web}}: CS1 maint: archived copy as title (link)
^ Sutton LN (February 2008). "Fetal surgery for neural tube defects". Best Pract Res Clin Obstet Gynaecol. 22 (1): 175–88. doi:10.1016/j.bpobgyn.2007.07.004. PMC 2293328. PMID 17714997.
^ Johnson, Mark P.; Bennett, Kelly A.; Rand, Larry; Burrows, Pamela K.; Thom, Elizabeth A.; Howell, Lori J.; Farrell, Jody A.; Dabrowiak, Mary E.; Brock, John W.; Farmer, Diana L.; Adzick, N. Scott (December 2016). "The Management of Myelomeningocele Study: obstetrical outcomes and risk factors for obstetrical complications following prenatal surgery". American Journal of Obstetrics and Gynecology. 215 (6): 778.e1–778.e9. doi:10.1016/j.ajog.2016.07.052. ISSN 1097-6868. PMC 5896767. PMID 27496687.
^ Dodd, Jodie M; Anderson, Elizabeth R; Gates, Simon; Grivell, Rosalie M (2014-07-22). Cochrane Pregnancy and Childbirth Group (ed.). "Surgical techniques for uterine incision and uterine closure at the time of caesarean section". Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD004732.pub3.

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[:0-1] Sung, Sharon; Mahdy, Heba (2022), "Cesarean Section", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 31536313, retrieved 2022-03-23

[2] Assad, R. S.; Hanley, F. L. (1998). "Artificial placenta--a need for fetal surgery?". The Journal of Thoracic and Cardiovascular Surgery. 115 (5): 1021–1022. doi:10.1016/S0022-5223(98)70400-3. PMID 9605070. "Archived copy". Archived from the original on 2012-07-21. Retrieved 2010-11-28.{{cite web}}: CS1 maint: archived copy as title (link)

[3] Sutton LN (February 2008). "Fetal surgery for neural tube defects". Best Pract Res Clin Obstet Gynaecol. 22 (1): 175–88. doi:10.1016/j.bpobgyn.2007.07.004. PMC 2293328. PMID 17714997.

[4] Johnson, Mark P.; Bennett, Kelly A.; Rand, Larry; Burrows, Pamela K.; Thom, Elizabeth A.; Howell, Lori J.; Farrell, Jody A.; Dabrowiak, Mary E.; Brock, John W.; Farmer, Diana L.; Adzick, N. Scott (December 2016). "The Management of Myelomeningocele Study: obstetrical outcomes and risk factors for obstetrical complications following prenatal surgery". American Journal of Obstetrics and Gynecology. 215 (6): 778.e1–778.e9. doi:10.1016/j.ajog.2016.07.052. ISSN 1097-6868. PMC 5896767. PMID 27496687.

[5] Dodd, Jodie M; Anderson, Elizabeth R; Gates, Simon; Grivell, Rosalie M (2014-07-22). Cochrane Pregnancy and Childbirth Group (ed.). "Surgical techniques for uterine incision and uterine closure at the time of caesarean section". Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD004732.pub3.

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 ==Risks and complications==
+A caesarean section is conducted depending on the situation of the mother and fetus during birth and surgeon preferences. The main deciding factor is what the safest route of delivery is for both the mother and the fetus. Complications for the mother include maternal blood loss, maternal postoperative pain, anaemia due to continuing blood loss, postoperative pain, fever and possible wound infection. Postoperative complications for the mother may include breastfeeding issues, difficulty passing urine, future fertility problems and/or complications in future pregnancies including uterine rupture. <ref>{{Cite journal |last=Dodd |first=Jodie M |last2=Anderson |first2=Elizabeth R |last3=Gates |first3=Simon |last4=Grivell |first4=Rosalie M |date=2014-07-22 |editor-last=Cochrane Pregnancy and Childbirth Group |title=Surgical techniques for uterine incision and uterine closure at the time of caesarean section |url=https://doi.wiley.com/10.1002/14651858.CD004732.pub3 |journal=Cochrane Database of Systematic Reviews |language=en |doi=10.1002/14651858.CD004732.pub3}}</ref>
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 ==See also==