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Major proceduresFree in the app

Peripartum hysterectomy

Last-resort control of haemorrhage.

Source: Standard operative texts

Indications

  • PPH not controlled by medical and conservative surgical steps
  • Placenta accreta spectrum
  • Uterine rupture not repairable

Key steps

  1. Call senior obstetrician & anaesthetist early; major haemorrhage protocol.
  2. Subtotal is quicker; total if bleeding is from lower segment, cervix or placental bed.
  3. Clamp–cut–tie round ligament, ovarian ligament (keep ovaries), uterine vessels, cardinal ligaments.
  4. Protect bladder and ureters — the main injuries.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.