RESULTS
Of the twenty consecutive patients, ten had a Caesarean section with
peripartum hysterectomy and ten were managed by Caesarean section using
our technique. None of the woman had a Caesarean hysterectomy for failed
conservative management. Five women in each group had the procedure
performed electively between 34 and 36 weeks. The remainder needed
emergency delivery for an intervening complication. All but one of the
women who had had previous myomectomy and was delivered by CS with
myometrial repair, had had at least one previous CS.
The groups were similar with respect to age and gestational age at
delivery (Table 1). More women having hysterectomy had had two or more
previous CS compared to women having CS and repair. The BMI was higher
in the hysterectomy group although this did not reach statistical
significance. The hysterectomy group had a longer surgical time
(p=0.05). Estimated blood loss (EBL) and need for transfusion were lower
in the myometrial repair group but these did not reach statistical
significance. There was one bladder injury in the hysterectomy group but
no visceral injury in the conservative myometrial repair group.