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Titolo:
A randomised, controlled study of uterine exteriorisation and repair at caesarean section
Autore:
Wahab, MA; Karantzis, P; Eccersley, PS; Russell, IF; Thompson, JW; Lindow, SW;
Indirizzi:
Univ Hull, Dept Math, Hull HU6 7RX, N Humberside, England Univ Hull Hull N Humberside England HU6 7RX U6 7RX, N Humberside, England Hull Matern Hosp, Dept Obstet & Gynaecol, Hull, N Humberside, England HullMatern Hosp Hull N Humberside England , Hull, N Humberside, England Hull Matern Hosp, Dept Anaesthet, Hull, N Humberside, England Hull Matern Hosp Hull N Humberside England , Hull, N Humberside, England
Titolo Testata:
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
fascicolo: 9, volume: 106, anno: 1999,
pagine: 913 - 916
SICI:
1470-0328(199909)106:9<913:ARCSOU>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
PLACENTAL REMOVAL; CESAREAN-SECTION; BLOOD-LOSS; EXTERIORIZATION; MORBIDITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
6
Recensione:
Indirizzi per estratti:
Indirizzo: Wahab, MA Leicester Royal Infirm, Dept Obstet & Gynaecol, Clin Sci Bldg, Leicester LE2 7LX, Leics, England Leicester Royal Infirm Clin Sci Bldg Leicester Leics England LE2 7LX
Citazione:
M.A. Wahab et al., "A randomised, controlled study of uterine exteriorisation and repair at caesarean section", BR J OBST G, 106(9), 1999, pp. 913-916

Abstract

Objective To determine the surgical and anaesthetic benefits and problems associated with the practice of routine exteriorisation of the uterus to facilitate repair at caesarean section. Design A randomised controlled study of women undergoing caesarean section. After establishment of anaesthesia, women were randomised to either exteriorisation and uterine repair or suture of the uterus in the abdomen. Setting A maternity hospital in the United Kingdom. Main outcome measures Peri-operative haemoglobin change, duration of operation, maternal morbidity and length of hospital stay. Intra-operative pain,nausea, vomiting, pulling or tugging sensations were secondary outcome measures. Results Three hundred and sixteen women were randomised, of whom 288 were subsequently analysed (139 women in whom the uterus was exteriorised and 149 where the uterus was not exteriorised). Exteriorisation of the uterus, anelective caesarean section and a spinal or general anaesthesia each had a statistically significant association with reduced blood loss (P < 0.05). There were no statistically significant differences between the two groups with regard to intra-operative complications or pain, nor were there any statistically significant difference in post-operative wound sepsis, pyrexia, deep vein thrombosis, blood transfusion or length of hospital stay. Conclusion With effective anaesthesia, exteriorisation of the uterus for repair following caesarean delivery is not associated with significant problems and is associated with less blood loss.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 22:23:49