The risk of unplanned reoperations in obstetrics

doi:10.3877/cma.j.issn.2095-3259.2016.01.004

Abstract

Abstract:

To improve the quality of obstetric care, we need to analyze the risk factors of unplanned reoperations in obstetrics, strictly control the indications and surgical timing of cesarean, and fully evaluate the risk of pre-operation, intra-operation and post-operation of pregnant women, and take comprehensive management of operation. Meanwhile, the hospitals regulate the unplanned reoperation in order to reduce the incidence of obstetric unplanned reoperation.

Key words: Postpartum hemorrhage, Reoperation, Postoperative complications, Placenta accrete, Placenta previa

Xiaotian Ma, Meihua Zhang. The risk of unplanned reoperations in obstetrics[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2016, 05(01): 15-18.

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References 12

[1]	Wada N, Tachibana D, Nakagawa K, et al. Pathological findings in a case of failed uterine Artery embolization for placenta previa[J]. Jpn Clin Med, 2013, 4: 25-28.
[2]	Mahfouz I, Asali F, Wiltshire R, et al. Unplanned return to the operating theatre in gynaecology: five years′ experience[J]. EurJ Obstet Gynecol Reprod Biolo, 2011, 157(2): 222-225.
[3]	许峰，马谢民，朱志峰. 非计划再手术医疗质量评价指标的研究[J]. 中国医药科学，2011, 12(1):17-19.
[4]	晋柏，王清，张婷婷，等. 10例前置胎盘患者发生非计划重返手术原因及相关危险因素[J]. 中华围产医学杂志，2015, 11(18):832-842.
[5]	Guevara OA, Rubio Romero JA, Ruiz Parra AI. Unplanned reoperations：is emergency surgery a risk factor? A cohort study[J]. Surg Res, 2013, 182(1): 11-16.
[6]	王志坚，何艳红. 产后出血子宫切除相关问题[J/CD]. 中华产科急救电子杂志，2014, 3(4):16-20.
[7]	戴钟英. 如何避免剖宫产手术中的一些错误[J]. 实用妇产科杂志，2003, 19(6):375-376.
[8]	顾会芬. 剖宫产术后非计划性再次手术原因分析[J]. 中国医药指南，2013, 11(8):627-628.
[9]	Ansari MZ, Collopy BT. The risk of an unplanned return to the operating room in Australian hospitals[J]. Aust N Z Surg, 1996, 66(1): 10-13.
[10]	林远铿，龙昌军，罗礼贤. 剖宫产术子宫切口严重撕裂28例分析[J]. 临床误诊误治，2005, 18(4):270-271.
[11]	戴钟英. 关于剖宫产率和剖宫产技巧的几点意见[J]. 中国妇产科临床，2001, 5(2):131-132.
[12]	戴满花，刘慧妹，陈敦金，等. 围产期子宫切除术后再次行腹腔探查术患者的临床特点分析[J]. 中华围产医学杂志，2011, 14(1):34-38.

病例(例)	宫口开大	剖宫产指征	剖宫产术中所见	手术间隔时间	再次手术原因	再次手术术中所见
1	8 cm	胎儿窘迫	子宫切口左侧沿宫颈撕裂约3 cm	术后11 d	晚期产后出血，失血性休克，子宫复旧不良并感染	组织水肿，变脆，尤以下段明显，子宫颈左侧有一约3 cm裂口，炎性坏死，明显出血，行子宫次全切除术
2	10 cm	持续性枕横位	子宫下段菲薄，左侧阔韧带有一约5 cm×3 cm的血肿	术后4 d	晚期产后出血，失血性休克，子宫复旧不良并感染	子宫切口左侧近膀胱处活动性出血，组织水肿，脆性增加，打开膀胱腹膜返折处有一约2 cm裂口

病例(例)	宫口开大	剖宫产指征	剖宫产术中所见	手术间隔时间	再次手术原因	再次手术术中所见
1	8 cm	胎儿窘迫	子宫切口左侧沿宫颈撕裂约3 cm	术后11 d	晚期产后出血，失血性休克，子宫复旧不良并感染	组织水肿，变脆，尤以下段明显，子宫颈左侧有一约3 cm裂口，炎性坏死，明显出血，行子宫次全切除术
2	10 cm	持续性枕横位	子宫下段菲薄，左侧阔韧带有一约5 cm×3 cm的血肿	术后4 d	晚期产后出血，失血性休克，子宫复旧不良并感染	子宫切口左侧近膀胱处活动性出血，组织水肿，脆性增加，打开膀胱腹膜返折处有一约2 cm裂口

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