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Visceral organ injury obtained at caesarean section: a retrospective observation study
Thesis (MMed)--Stellenbosch University, 2025.
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| Format: | Thesis |
| Language: | English |
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867613929115484160 |
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| access_status_str | Open Access |
| author | Bryer, Katherine Ann |
| author2 | De Waard, Liesl |
| author_browse | Bryer, Katherine Ann De Waard, Liesl |
| author_facet | De Waard, Liesl Bryer, Katherine Ann |
| author_sort | Bryer, Katherine Ann |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/134545 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:43:57.159Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/134545 Visceral organ injury obtained at caesarean section: a retrospective observation study Bryer, Katherine Ann De Waard, Liesl Botha, Hennie Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. Obstetrics and Gynaecology. Cesarean section -- Complications Abdomen -- Wounds and injuries Surgery -- Complications Thesis (MMed)--Stellenbosch University, 2025. Bryer, K. A. 2025. Visceral Organ Injury Obtained at Caesarean Section: A Retrospective Observation Study. Unpublished masters thesis. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/7ac05f3e-eb0f-45e9-b281-f7a1dfae4e27 ENGLISH ABSTRACT: Background: Iatrogenic visceral injury at Caesarean section (CS) is associated with significant morbidity and is largely preventable if cautionary measures are taken in high risk patients. Objective: To describe the risk factors and outcomes of women who obtained visceral organ injuries during caesarean section (CS) at Tygerberg Hospital (TBH) in Cape Town. Methods: We conducted a retrospective descriptive study of women who sustained visceral organ injury at CS. Theatre registers were screened to identify cases between January 2019 and December 2023. Results: In the 5-year study period, 20163 CS’s were performed, and 65(0.32%) patients were identified as having a visceral organ injury. The injuries sustained were bladder 42(64.6%), bowel 15(23%) and ureteric 8(12.3%). The mean age was 32(SD5), 39(60%) had a Body mass index (BMI) of >30kg/m2 with a mean delivery gestation of 37 weeks(SD3.3). There were 49(75%) who had at least one previous CS, which was more common in women who sustained bladder injuries, 37(88.10%). The majority were emergency CS 47(72%), and in 40(65%) of cases, the women were in labour. A blood loss of >1000ml was identified in 30(46,15%), including 7 of the 8 women who sustained ureteric injuries. Eight(12,31%) of patients required admission to an intensive care unit, and there were two maternal deaths, both sustained bowel injuries, with delayed recognition. Conclusion: This study shows that the incidence of visceral organ injury sustained at CS at TBH is low. Bladder injuries were associated with previous CS and ureteric injuries with postpartum haemorrhage. Women who sustained bowel injuries had the highest mortality. Delays in recognition of such injuries carry catastrophic risks; meticulous intra- and post-operative practices should be in place to avoid such incidents. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2025-12-12T09:58:44Z 2025-12-12T09:58:44Z 2025-12 Thesis https://scholar.sun.ac.za/handle/10019.1/134545 en Stellenbosch University 23 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Cesarean section -- Complications Abdomen -- Wounds and injuries Surgery -- Complications Bryer, Katherine Ann Visceral organ injury obtained at caesarean section: a retrospective observation study |
| title | Visceral organ injury obtained at caesarean section: a retrospective observation study |
| title_full | Visceral organ injury obtained at caesarean section: a retrospective observation study |
| title_fullStr | Visceral organ injury obtained at caesarean section: a retrospective observation study |
| title_full_unstemmed | Visceral organ injury obtained at caesarean section: a retrospective observation study |
| title_short | Visceral organ injury obtained at caesarean section: a retrospective observation study |
| title_sort | visceral organ injury obtained at caesarean section a retrospective observation study |
| topic | Cesarean section -- Complications Abdomen -- Wounds and injuries Surgery -- Complications |
| url | https://scholar.sun.ac.za/handle/10019.1/134545 |
| work_keys_str_mv | AT bryerkatherineann visceralorganinjuryobtainedatcaesareansectionaretrospectiveobservationstudy |