Anchor the suture in the lower uterine segment by taking bites on either side of the left edge of the uterine hysterotomy
incision (points E and F).
([double dagger]) Hysterotomy
is an incision in the uterus.
 Should LTOP fail, the physician will be faced with performing either a hysterectomy or a hysterotomy
, both of which are normally contraindicated as the risk of maternal mortality is greater than in childbirth.
In the early phase after CS, the incision site of the hysterotomy
may appear as an oval area extending from the uterine cavity to the outer edge of the anterior uterine wall.
She had severe PPH during hysterotomy
. She responded well to uterine tamponade and abdominal binder.
suture, there was constant efflux of dark blood from the left iliac fossa.
We used the Haultain abdominal hysterotomy
method with a good surgical outcome.
In literature there is an inconsistency in the definition of a CS delivery.4-7 Two definitions were considered for the study: a) CS delivery is surgical extraction of the foetus from the uterine cavity through laparatomy and hysterotomy
when the foetus has the criteria to be declared a newborn; b) CS delivery on request or elective is the delivery by CS but without any maternal or foetal indications.
Such a surgical approach that spares the pseudocapsule is described as intracapsular myomectomy and seems to be advantageous compared with the extracapsular one, in terms of blood loss, operational time, and proper hysterotomy
This may incur several risks for the child like depression due to general anesthesia, fetal injury during hysterotomy
and/or delivery, increased likelihood of respiratory distress even at term, and breastfeeding complications.
In more advanced pregnancies, past 14-16 weeks, a procedure called hysterotomy
, similar to the caesarean section, may be performed if medical termination was unsuccessful.
Single versus double layer closure ofthe hysterotomy
incision during cesarean delivery and riskof uterine rupture.