Association of Previous Cesarean Delivery With Surgical Complications After a Hysterectomy Later in Life - JAMA

Sofie A. I. Lindquist, MD1; Neel Shah, MD, MPP2; Charlotte Overgaard, PhD1; et al Christian Torp-Pedersen, MD, DMSc1,3; Karin Glavind, MD4; Thomas Larsen, MD4; Avery Plough, BA2; Grace Galvin, MPH2; Aage Knudsen, MD, DMSc4 Author Affiliations Article information JAMA Surg. Published online August 9, 2017. doi:10.1001/jamasurg.2017.2825

Having a previous cesarean delivery significantly increased the risk of reoperation, perioperative and postoperative complications, and blood transfusion among women undergoing a hysterectomy later in life. Furthermore, cesarean delivery increased a woman’s risk of open surgery for a subsequent hysterectomy. The results support policies and clinical efforts to prevent cesarean deliveries that are not medically indicated.

http://jamanetwork.com/journals/jamasurgery/fullarticle/2647250

New study finds link between C-sections and hysterectomy complications later in life

Dr. Jennifer Ashton appears live on "GMA" to discuss what women should know about the new study.
http://abcnews.go.com/GMA/video/study-finds-link-sections-hysterectomy-complications-life-49148156

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Adhesion Related Disorder International Human Rights Team IHRT: Barbed Sutures in Minimally Invasive Gynecologic Surgery.

Adhesion Related Disorder International Human Rights Team IHRT: Barbed Sutures in Minimally Invasive Gynecologic Surgery.

Small bowel obstruction due to laparoscopic barbed sutures: an unknown complication?

Hey, I stumbled upon this...

https://www.ncbi.nlm.nih.gov/pubmed/26541657

Segura-Sampedro JJ¹, Ashrafian H², Navarro-Sánchez A², Jenkins JT³, Morales-Conde S⁴, Martínez-Isla A².

Author information

• ¹Cirugía General y del Aparato Digestivo, Hospital Universitario Son Espases, España.
• ²North West London Hospitals NHS Trust. London, UK.
• ³St. Mark's Hospital. Harrow, UK.
• ⁴Hospital Universitario Virgen del Rocío. Sevilla.

CONCLUSIONS:

These cases highlight that although barbed sutures provide an attractive means to allow easier and faster laparoscopic suturing, they should be used carefully in inframesocolic surgery and the suture end cut and buried to avoid inadvertent attachment to the small bowel or its mesentery. Barbed suture entanglement should be considered as an uncommon yet potentially serious differential cause for SBO presenting in the early period after laparoscopic surgery where a barbed suture has been used.

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Lena Dunham is screwed - Endometriosis

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