Surgical complications of cesarean section

Introduction/Objective. Cesarean section birth rate has been constantly increasing worldwide over the last decades. The complications of cesarean section that require relaparotomy are rather serious and relatively rare. The aim of this paper is to present the incidence of surgical complications afte...

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Main Authors: Glišić Andreja, Divac Nevena, Ilić-Mostić Tatjana, Bila Jovan, Milošević Branislav, Basailović Miloš
Format: Article
Language:English
Published: Serbian Medical Society 2019-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2019/0370-81791900040G.pdf
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author Glišić Andreja
Divac Nevena
Ilić-Mostić Tatjana
Bila Jovan
Milošević Branislav
Basailović Miloš
author_facet Glišić Andreja
Divac Nevena
Ilić-Mostić Tatjana
Bila Jovan
Milošević Branislav
Basailović Miloš
author_sort Glišić Andreja
collection DOAJ
description Introduction/Objective. Cesarean section birth rate has been constantly increasing worldwide over the last decades. The complications of cesarean section that require relaparotomy are rather serious and relatively rare. The aim of this paper is to present the incidence of surgical complications after Cesarean section at the Clinic of Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, Serbia, during a three-year period (2013–2015). Methods. This is a retrospective study. Data obtained from the medical records/histories were used and processed according to descriptive statistical methods. Results. During the observed period, relaparotomy was necessary in 29 (0.44%) women who had a CS. Relaparotomy was performed due to clinically and ultrasonographically evidenced hematoma of the anterior abdominal wall, retroperitoneal hematoma, hemoperitoneum, and development of hemorrhagic shock, complete wound dehiscence or diffuse peritonitis. There were no lethal outcomes after CS followed by these complications at the Clinic of Gynecology and Obstetrics, Clinical Center of Serbia in Belgrade. Conclusion. The incidence of relaparotomy in our study is similar to other tertiary institutions, as well as the indications for relaparotomy. While generally observed mortality rate after post-cesarean relaparotomy in developed countries is 2.7%, in our study there were no lethal outcomes. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 175023]
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spelling doaj.art-3b6f6118906944aeb61a2a735a9e0b9d2022-12-21T22:56:18ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792019-01-0114711-1268869110.2298/SARH190116040G0370-81791900040GSurgical complications of cesarean sectionGlišić Andreja0Divac Nevena1Ilić-Mostić Tatjana2Bila Jovan3Milošević Branislav4Basailović Miloš5University of Belgrade, Faculty of Medicine, Clinical center of Serbia, Clinic for Obstetrics and Gynecology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Department of Pharmacology, Clinical Pharmacology and Toxicology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Clinical center of Serbia, Clinic for Obstetrics and Gynecology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Clinical center of Serbia, Clinic for Obstetrics and Gynecology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Clinical center of Serbia, Clinic for Obstetrics and Gynecology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Department of Pharmacology, Clinical Pharmacology and Toxicology, Belgrade, SerbiaIntroduction/Objective. Cesarean section birth rate has been constantly increasing worldwide over the last decades. The complications of cesarean section that require relaparotomy are rather serious and relatively rare. The aim of this paper is to present the incidence of surgical complications after Cesarean section at the Clinic of Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, Serbia, during a three-year period (2013–2015). Methods. This is a retrospective study. Data obtained from the medical records/histories were used and processed according to descriptive statistical methods. Results. During the observed period, relaparotomy was necessary in 29 (0.44%) women who had a CS. Relaparotomy was performed due to clinically and ultrasonographically evidenced hematoma of the anterior abdominal wall, retroperitoneal hematoma, hemoperitoneum, and development of hemorrhagic shock, complete wound dehiscence or diffuse peritonitis. There were no lethal outcomes after CS followed by these complications at the Clinic of Gynecology and Obstetrics, Clinical Center of Serbia in Belgrade. Conclusion. The incidence of relaparotomy in our study is similar to other tertiary institutions, as well as the indications for relaparotomy. While generally observed mortality rate after post-cesarean relaparotomy in developed countries is 2.7%, in our study there were no lethal outcomes. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 175023]http://www.doiserbia.nb.rs/img/doi/0370-8179/2019/0370-81791900040G.pdfsurgical complicationscaesarean sectionrelaparotomy
spellingShingle Glišić Andreja
Divac Nevena
Ilić-Mostić Tatjana
Bila Jovan
Milošević Branislav
Basailović Miloš
Surgical complications of cesarean section
Srpski Arhiv za Celokupno Lekarstvo
surgical complications
caesarean section
relaparotomy
title Surgical complications of cesarean section
title_full Surgical complications of cesarean section
title_fullStr Surgical complications of cesarean section
title_full_unstemmed Surgical complications of cesarean section
title_short Surgical complications of cesarean section
title_sort surgical complications of cesarean section
topic surgical complications
caesarean section
relaparotomy
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2019/0370-81791900040G.pdf
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AT ilicmostictatjana surgicalcomplicationsofcesareansection
AT bilajovan surgicalcomplicationsofcesareansection
AT milosevicbranislav surgicalcomplicationsofcesareansection
AT basailovicmilos surgicalcomplicationsofcesareansection