Dealing with rupture of uterus in a tertiary care hospital
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Rupture of uterus is a common obstetric problem in rural and less developed areas of our country. It is a major cause of maternal mortality and morbidity. Emergency laparotomy is done in all cases but the obstetrician has two choices. One has to choose between hysterectomy and repair of the rupture. Some prefer repair and some support hysterectomy. Hence the purpose of the present study was to compare two surgical procedures i,e. repair of rupture of uterus with subtotal hysterectomy so that the better method can be adopted for the patients. A prospective study was conducted with fourty five cases of rupture of uterus. Repair was done in twenty cases and in the rest subtotal hysterectomy was done. The results were compared and analysed. It was seen that it was possible to repair all cases of rupture. The operating time and blood loss was significantly less in the repair group and the post operative complications were comparable in the two groups. Hence repair of the uterine injury should be the method of first choice and not hysterectomy in cases of obstetric ruptures of the uterus.
Authors and Affiliations
Nihar Ranjan Behera, Subhasis Panigrahy
Keywords
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