Safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in Chile
Objective: To describe the incidence, clinical characteristics, and complications of obstetric hysterectomy in a tertiary hospital in Chile from 2021 to 2023. Methods: Retrospective descriptive cohort study including all women with a gestational age ≥20 weeks or up to six weeks postpartum who und...
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Federación Colombiana de Obstetricia y Ginecología
2025-07-01
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| Series: | Revista Colombiana de Obstetricia y Ginecología |
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| Online Access: | https://revista.fecolsog.org/index.php/rcog/article/view/4349 |
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| author | Sebastián Lavanderos Benjamín Moraga-Arias Fernanda Muñoz-Baeza Sebastián Cifuentes-Espinoza Víctor Córdova-Padilla |
| author_facet | Sebastián Lavanderos Benjamín Moraga-Arias Fernanda Muñoz-Baeza Sebastián Cifuentes-Espinoza Víctor Córdova-Padilla |
| author_sort | Sebastián Lavanderos |
| collection | DOAJ |
| description |
Objective: To describe the incidence, clinical characteristics, and complications of obstetric hysterectomy in a tertiary hospital in Chile from 2021 to 2023.
Methods: Retrospective descriptive cohort study including all women with a gestational age ≥20 weeks or up to six weeks postpartum who underwent obstetric hysterectomy at Santiago Oriente Dr. Luis Tisné Brousse Hospital. Clinical and surgical data were collected from institutional records. Descriptive statistics were performed.
Results: Twenty-five obstetric hysterectomies were performed during the study period. Incidence per 1,000 live births decreased from 3.22 in 2021 to 1.81 in 2023. Postpartum hemorrhage was the main indication (52%), followed by placenta accreta spectrum (32%), infection (12%), and uterine rupture (4%). Supracervical hysterectomy was performed in 52% of cases, and total hysterectomy in 48%; 68% were emergencies. One intraoperative complication (bladder injury) was reported. Postoperative complications occurred in 84% of cases, the most frequent being anemia (84%) and hemorrhagic shock (36%). No significant associations were found between baseline characteristics and complications.
Conclusion: Although its incidence is declining, obstetric hysterectomy remains associated with high morbidity. Strengthening prevention, early detection, and timely multidisciplinary care is essential. Further prospective, multicenter studies are needed to inform strategies to improve maternal outcomes.
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| format | Article |
| id | doaj-art-e7192f1e3479410f86a607112cf7d079 |
| institution | DOAJ |
| issn | 0034-7434 2463-0225 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Federación Colombiana de Obstetricia y Ginecología |
| record_format | Article |
| series | Revista Colombiana de Obstetricia y Ginecología |
| spelling | doaj-art-e7192f1e3479410f86a607112cf7d0792025-08-20T02:41:03ZengFederación Colombiana de Obstetricia y GinecologíaRevista Colombiana de Obstetricia y Ginecología0034-74342463-02252025-07-0110.18597/rcog.4349Safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in ChileSebastián Lavanderos0https://orcid.org/0000-0001-8992-8451Benjamín Moraga-Arias1https://orcid.org/0009-0009-6333-2997Fernanda Muñoz-Baeza2https://orcid.org/0009-0005-1506-559XSebastián Cifuentes-Espinoza 3https://orcid.org/0009-0004-4242-3463Víctor Córdova-Padilla4School of Medicine, Faculty of Medicine. Universidad Diego Portales, Ejército 141. Santiago (Chile).School of Medicine, Faculty of Medicine. Universidad Diego Portales, Ejército 141. Santiago (Chile).School of Medicine, Faculty of Medicine. Universidad Diego Portales, Ejército 141. Santiago (Chile).School of Medicine, Faculty of Medicine. Universidad Diego Portales, Ejército 141. Santiago (Chile).OBGYN Department, Hospital Santiago Oriente, Dr. Luis Tisné Brousse. Santiago (Chile). Objective: To describe the incidence, clinical characteristics, and complications of obstetric hysterectomy in a tertiary hospital in Chile from 2021 to 2023. Methods: Retrospective descriptive cohort study including all women with a gestational age ≥20 weeks or up to six weeks postpartum who underwent obstetric hysterectomy at Santiago Oriente Dr. Luis Tisné Brousse Hospital. Clinical and surgical data were collected from institutional records. Descriptive statistics were performed. Results: Twenty-five obstetric hysterectomies were performed during the study period. Incidence per 1,000 live births decreased from 3.22 in 2021 to 1.81 in 2023. Postpartum hemorrhage was the main indication (52%), followed by placenta accreta spectrum (32%), infection (12%), and uterine rupture (4%). Supracervical hysterectomy was performed in 52% of cases, and total hysterectomy in 48%; 68% were emergencies. One intraoperative complication (bladder injury) was reported. Postoperative complications occurred in 84% of cases, the most frequent being anemia (84%) and hemorrhagic shock (36%). No significant associations were found between baseline characteristics and complications. Conclusion: Although its incidence is declining, obstetric hysterectomy remains associated with high morbidity. Strengthening prevention, early detection, and timely multidisciplinary care is essential. Further prospective, multicenter studies are needed to inform strategies to improve maternal outcomes. https://revista.fecolsog.org/index.php/rcog/article/view/4349HysterectomyPostpartum hemorrhageCesarean sectionPlacenta accretaPostoperative complications |
| spellingShingle | Sebastián Lavanderos Benjamín Moraga-Arias Fernanda Muñoz-Baeza Sebastián Cifuentes-Espinoza Víctor Córdova-Padilla Safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in Chile Revista Colombiana de Obstetricia y Ginecología Hysterectomy Postpartum hemorrhage Cesarean section Placenta accreta Postoperative complications |
| title | Safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in Chile |
| title_full | Safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in Chile |
| title_fullStr | Safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in Chile |
| title_full_unstemmed | Safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in Chile |
| title_short | Safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in Chile |
| title_sort | safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in chile |
| topic | Hysterectomy Postpartum hemorrhage Cesarean section Placenta accreta Postoperative complications |
| url | https://revista.fecolsog.org/index.php/rcog/article/view/4349 |
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