{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:51:34Z","timestamp":1776095494851,"version":"3.50.1"},"reference-count":23,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"2","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. colomb. obstet. ginecol."],"abstract":"<jats:p>Objective: To describe the incidence, clinical characteristics, and complications of obstetric hysterectomy in a tertiary hospital in Chile from 2021 to 2023.\nMethods: Retrospective descriptive cohort study including all women with a gestational age \u226520 weeks or up to six weeks postpartum who underwent obstetric hysterectomy at Santiago Oriente Dr. Luis Tisn\u00e9 Brousse Hospital. Clinical and surgical data were collected from institutional records. Descriptive statistics were performed.\nResults: 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.\nConclusion: 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.<\/jats:p>","DOI":"10.18597\/rcog.4349","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T13:15:42Z","timestamp":1753190142000},"update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Safety and clinical outcomes of obstetric hysterectomies in patients treated at a tertiary hospital in Chile","Seguridad y desenlaces cl\u00ednicos de las histerectom\u00edas obst\u00e9tricas en pacientes atendidas en un hospital de atenci\u00f3n terciaria en Chile"],"prefix":"10.18597","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8992-8451","authenticated-orcid":false,"given":"Sebasti\u00e1n","family":"Lavanderos","sequence":"first","affiliation":[{"name":"School of Medicine, Faculty of Medicine. Universidad Diego Portales, Ej\u00e9rcito 141. Santiago (Chile)."},{"name":"School of Medicine, Faculty of Medicine. Universidad Diego Portales, Ej\u00e9rcito 141. Santiago (Chile)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6333-2997","authenticated-orcid":false,"given":"Benjam\u00edn","family":"Moraga-Arias","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Medicine. Universidad Diego Portales, Ej\u00e9rcito 141. Santiago (Chile)."},{"name":"Escuela de Medicina, Facultad de Medicina. Universidad Diego Portales, Ej\u00e9rcito 141. Santiago (Chile)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1506-559X","authenticated-orcid":false,"given":"Fernanda","family":"Mu\u00f1oz-Baeza","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Medicine. Universidad Diego Portales, Ej\u00e9rcito 141. Santiago (Chile)."},{"name":"Escuela de Medicina, Facultad de Medicina. Universidad Diego Portales, Ej\u00e9rcito 141. Santiago (Chile)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4242-3463","authenticated-orcid":false,"given":"Sebasti\u00e1n","family":"Cifuentes-Espinoza","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Medicine. Universidad Diego Portales, Ej\u00e9rcito 141. Santiago (Chile)."},{"name":"Escuela de Medicina, Facultad de Medicina. Universidad Diego Portales, Ej\u00e9rcito 141. Santiago (Chile)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V\u00edctor","family":"C\u00f3rdova-Padilla","sequence":"additional","affiliation":[{"name":"OBGYN Department, Hospital Santiago Oriente, Dr. Luis Tisn\u00e9 Brousse. Santiago (Chile)."},{"name":"Departmento OBGYN, Hospital Santiago Oriente, Dr. Luis Tisn\u00e9 Brousse. Santiago (Chile)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"103941","doi-asserted-by":"crossref","unstructured":"Kallianidis A, Rijntjes D, Brobbel C, Dekkers O, Bloemenkamp K, van den Akker T. Incidence, Indications, Risk Factors, and Outcomes of Emergency Peripartum Hysterectomy Worldwide: A Systematic Review and Meta-analysis. Obstet Gynecol. 2023;141(1):35-48. http:\/\/www.doi.org\/10.1097\/AOG.0000000000005022.","DOI":"10.1097\/AOG.0000000000005022"},{"key":"103942","doi-asserted-by":"crossref","unstructured":"Daskalakis G, Anastasakis E, Papantoniou N, Mesogitis S, Theodora M, Antsaklis A. Emergency obstetric hysterectomy. Acta Obstet Gynecol Scand. 2007;86(2):223-7. http:\/\/www.doi.org\/10.1080\/00016340601088448.","DOI":"10.1080\/00016340601088448"},{"key":"103943","doi-asserted-by":"crossref","unstructured":"Hellstern P, Haubelt H. Indications for plasma in massive transfusion. Thromb Res. 2002;107 Suppl 1:S19-22. http:\/\/www.doi.org\/10.1016\/s0049-3848(02)00147-0.","DOI":"10.1016\/S0049-3848(02)00147-0"},{"key":"103944","doi-asserted-by":"crossref","unstructured":"Mercier F, Van de Velde M. Major obstetric hemorrhage. Anesthesiol Clin. 2008;26(1):53-66, vi. http:\/\/www.doi.org\/10.1016\/j.anclin.2007.11.008.","DOI":"10.1016\/j.anclin.2007.11.008"},{"key":"103945","unstructured":"Aguilera B, Sep\u00falveda K, Lattus J, Pantoja V, Moscoso F, Guichard C, et al. Histerectom\u00eda obst\u00e9trica de emergencia. Experiencia en el Hospital Santiago Oriente Dr. Luis Tisn\u00e9 Brousse. Revista de Obstetricia y Ginecolog\u00eda - Hospital Santiago Oriente Dr Luis Tisn\u00e9 Brousse. 2006;1:39-44."},{"key":"103946","doi-asserted-by":"crossref","unstructured":"van den Akker T, Brobbel C, Dekkers O, Bloemenkamp K. Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide: A Systematic Review and Meta-analysis. Obstet Gynecol. 2016;128(6):1281-94. http:\/\/www.doi.org\/10.1097\/AOG.0000000000001736.","DOI":"10.1097\/AOG.0000000000001736"},{"key":"103947","doi-asserted-by":"crossref","unstructured":"Nieto-Calvache A, Sanin-Blair J, Buitrago-Leal H, Benavides-Serralde J, Maya-Castro J, Rozo-Rangel A, et al. Colombian Consensus on the Treatment of Placenta Accreta Spectrum (PAS). Rev Colomb Obstet Ginecol. 2022;73(3):283-316. http:\/\/www.doi.org\/10.18597\/rcog.3877.","DOI":"10.1016\/j.xagr.2023.100188"},{"key":"103948","doi-asserted-by":"crossref","unstructured":"Coccolini F, Sartelli M, Sawyer R, Rasa K, Viaggi B, Abu-Zidan F, et al. Source control in emergency general surgery: WSES, GAIS, SIS-E, SIS-A guidelines. World J Emerg Surg. 2023;18(1):41. http:\/\/www.doi.org\/10.1186\/s13017-023-00509-4.","DOI":"10.1186\/s13017-023-00509-4"},{"key":"103949","doi-asserted-by":"crossref","unstructured":"Schaap T, Bloemenkamp K, Deneux-Tharaux C, Knight M, Langhoff-Roos J, Sullivan E, et al. Defining definitions: a Delphi study to develop a core outcome set for conditions of severe maternal morbidity. BJOG. 2019;126(3):394-401. http:\/\/www.doi.org\/10.1111\/1471-0528.14833.","DOI":"10.1111\/1471-0528.14833"},{"key":"103950","doi-asserted-by":"crossref","unstructured":"Anju, Sibia P, Kaur P. Emergency obstetric hysterectomy: A clinical study. International Journal of Clinical Obstetrics and Gynaecology. 2020;4(2):432-5. http:\/\/www.doi.org\/10.33545\/gynae.2020.v4.i2g.564.","DOI":"10.33545\/gynae.2020.v4.i2g.564"},{"key":"103951","doi-asserted-by":"crossref","unstructured":"Bateman B, Mhyre J, Callaghan W, Kuklina E. Peripartum hysterectomy in the United States: nationwide 14 year experience. Am J Obstet Gynecol. 2012;206(1):63.e1-8. http:\/\/www.doi.org\/10.1016\/j.ajog.2011.07.030.","DOI":"10.1016\/j.ajog.2011.07.030"},{"key":"103952","doi-asserted-by":"crossref","unstructured":"Givens M, Einerson B, Allshouse A, Bruno A, Hammad I, Debbink M, et al. Trends in Unplanned Peripartum Hysterectomy in the United States, 2009-2020. Obstet Gynecol. 2022;139(3):449-51. http:\/\/www.doi.org\/10.1097\/AOG.0000000000004673.","DOI":"10.1097\/AOG.0000000000004673"},{"key":"103953","doi-asserted-by":"crossref","unstructured":"Kalyankar V, Nimbalkar R, Kalyankar B, Gadappa S. A comprehensive study of obstetric hysterectomy. The New Indian Journal of OBGYN. 2023;10(1):88-92. http:\/\/www.doi.org\/10.21276\/obgyn.2023.10.1.15.","DOI":"10.21276\/obgyn.2023.10.1.15"},{"key":"103954","doi-asserted-by":"crossref","unstructured":"Lawson S, Chou B, Martin K, Ryan I, Eke A, Martin K. The association between race\/ethnicity and peripartum hysterectomy and the risk of perioperative complications. Int J Gynaecol Obstet. 2020;151(1):57-66. Epub 20200806. http:\/\/www.doi.org\/10.1002\/ijgo.13304.","DOI":"10.1002\/ijgo.13304"},{"key":"103955","doi-asserted-by":"crossref","unstructured":"Mbakwa M, Tendongfor N, Ngunyi Y, Ngek E, Alemkia F, Egbe T. Indications and outcomes of emergency obstetric hysterectomy; a 5-year review at the Bafoussam Regional Hospital, Cameroon. BMC Pregnancy Childbirth. 2021;21(1). http:\/\/www.doi.org\/10.1186\/s12884-021-03797-3.","DOI":"10.1186\/s12884-021-03797-3"},{"key":"103956","unstructured":"Nor A, Jagdeesh K, Mohd F, Kamraul A, Yusmadi A, Noraslawati R, et al. Peripartum hysterectomy clinical characteristics and outcomes- a hospital based retrospective audit study. Med J Malaysia. 2023;78(6):756-62."},{"key":"103957","doi-asserted-by":"crossref","unstructured":"Peivandi S, Peivandi S, Habibi A, Atarod Z, Moosazadeh M, Fallah S. Prevalence and Factors Associated with Peripartum Hysterectomy among Iranian Pregnant Women: A Retrospective Study. Ethiop J Health Sci. 2022;32(2):289-96. http:\/\/www.doi.org\/10.4314\/ejhs.v32i2.9.","DOI":"10.4314\/ejhs.v32i2.9"},{"key":"103958","doi-asserted-by":"crossref","unstructured":"Verma A, Sharma G, Kashyap M. A Retrospective Analysis of Emergency Obstetric Hysterectomy: A Life-Saving Intervention. Cureus. 2023;15(10):e46758. http:\/\/www.doi.org\/10.7759\/cureus.46758.","DOI":"10.7759\/cureus.46758"},{"key":"103959","doi-asserted-by":"crossref","unstructured":"Zhang Y, Yan J, Han Q, Yang T, Cai L, Fu Y, et al. Emergency obstetric hysterectomy for life-threatening postpartum hemorrhage: A 12-year review. Medicine (Baltimore). 2017;96(45):e8443. http:\/\/www.doi.org\/10.1097\/MD.0000000000008443.","DOI":"10.1097\/MD.0000000000008443"},{"key":"103960","doi-asserted-by":"crossref","unstructured":"Ram\u00edrez Cabrera J, Cabrera Ramos S, Campos Siccha G, Pel\u00e1ez Chomba M, Poma Morales C. Histerectom\u00eda obst\u00e9trica en el Hospital San Bartolom\u00e9, Lima, 2003 - 2015. Revista Peruana de Ginecolog\u00eda y Obstetricia. 2017;63:27-33.","DOI":"10.31403\/rpgo.v63i1961"},{"key":"103961","doi-asserted-by":"crossref","unstructured":"Lima C, Bern\u00e9s S, Quiroz A, Sol\u00eds M, Carrillo E, Barrag\u00e1n R. Comportamientos de las incidencias, indicaciones y complicaciones de histerectom\u00edas obst\u00e9tricas en un hospital p\u00fablico mexicano. South Florida Journal of Health. 2024;5(2). http:\/\/www.doi.org\/10.46981\/sfjhv5n2-003.","DOI":"10.46981\/sfjhv5n2-003"},{"key":"103962","doi-asserted-by":"crossref","unstructured":"Tolosa V, Lambruschini C, Santos D, Nozar F. An\u00e1lisis de las histerectom\u00edas obst\u00e9tricas en el Centro Hospitalario Pereira Rossell 2017-2022. Rev Med Urug (Montev). 2024;40(4). http:\/\/www.doi.org\/10.29193\/rmu.40.4.1.","DOI":"10.29193\/RMU.40.4.1"},{"key":"103963","doi-asserted-by":"crossref","unstructured":"Casas-Pe\u00f1a R, P\u00e9rez-Varela I, Chicangana-Figueroa G. Frecuencia, indicaciones y complicaciones de la histerectom\u00eda obst\u00e9trica en el Hospital Universitario San Jos\u00e9 de Popay\u00e1n, 2006-2010: Estudio de cohorte. Rev Colomb Obstet Ginecol. 2013;64:121-5.","DOI":"10.18597\/rcog.119"}],"container-title":["Revista Colombiana de Obstetricia y Ginecolog\u00eda"],"original-title":[],"link":[{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/4349\/4110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/4349\/4092","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/4349\/4110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:01:57Z","timestamp":1776092517000},"score":1,"resource":{"primary":{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/view\/4349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,17]]},"references-count":23,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,7,31]]}},"URL":"https:\/\/doi.org\/10.18597\/rcog.4349","relation":{},"ISSN":["2463-0225","0034-7434"],"issn-type":[{"value":"2463-0225","type":"electronic"},{"value":"0034-7434","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7,17]]},"assertion":[{"value":"2025-07-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}},{"value":"Yes","order":0,"name":"peer_reviewed","label":"Peer Reviewed","group":{"name":"peer_review","label":"Peer Review"}},{"value":"Federaci\u00f3n Colombiana de Obstetricia y Ginecolog\u00eda","name":"publisher","label":"This article is maintained by"},{"value":"Revista Colombiana de Osbtetricia y Ginecolog\u00eda","name":"journaltitle","label":"Journal Title"},{"value":"Investigaci\u00f3n Original","name":"content_type","label":"Content Type"}]}}