THE INCIDENCE OF PERIPARTAL HYSTERECTOMY IN FIVE CROATIAN HOSPITALS DURING SIXTEEN-YEAR PERIOD

Uvod: Peripartalna histerektomija (PPH) najdramatičniji je kirurški zahvat u modernoj opstetriciji i obično se obavlja kada se konzervativnim mjerama nije uspjela postići kontrola krvarenja. Navodi se trend porasta učestalosti u razvijenim zemljama. Cilj rada: Odrediti učestalost PPH u pet hrvatskih bolnica tijekom dvaju osmogodišnjih razdoblja u odnosu prema načinu dovršenja porođaja. Metode: Retrospektivnom analizom prikupljeni su podaci iz pismohrana pet hrvatskih bolnica. U istraživanje su uključeni svi porođaji podijeljeni u dva osmogodišnja razdoblja, od 1998. do 2013. Rezultati: Od ukupno 153.302 porođaja tijekom obaju promatranih razdoblja u 70 (0,46‰) slučajeva učinjen je hitni PPH. PPH nakon vaginalnog porođaja u prvom razdoblju iznosio je 0,21‰, a u drugom razdoblju 0,16‰. Učestalost PPH nakon carskog reza u prvom razdoblju iznosio je 1,91‰, a u drugom razdoblju 2,04‰. Rasprava i zaključak: Nema porasta pojavnosti PPH usporedbom dvaju osmogodišnjih razdoblja premda postoji statistički značajan porast učestalosti carskog reza (s 14,2% na 16,0%). Carski je rez čimbenik rizika za PPHIntroduction: Peripartal hysterectomy (PPH) is a life saving surgical procedure that is performed when conservative measures fail to control bleeding. According to literature data there is an increase in incidence among developed countries. Aim: To define the rate of PPH during two eight-year periods in five Croatian hospitals in respect to mode of delivery. Methods: Patients data were collected retrospectively from the medical records of the five Croatian hospitals. We analyzed data from 1998 to 2013, and divided them in two eight-year periods. Results: In 70 cases out of 153,302 deliveries urgent PPH was performed. PPH after vaginal deliveries was found in 0.21‰ and 0.16‰ and PPH after caesarean section was 1.91‰ and 2.04‰ in the first and second period, respectively. Discussion and conclusion: There is no increase of PPH rate in the two analyzed periods, although there is a statistically significant increase of caesarean section rate. Caesarean section presents higher risk for PPH

Ružička days : International conference 17th Ružička Days “Today Science – Tomorrow Industry” : Proceedings

In front of you are the Proceedings of the International Conference 17th Ružička days: „Today Science – Tomorrow Industry“ that was held in Vukovar, Croatia at September 19-21, 2018. The main goal of this interdisciplinary conference is to promote excellence in science and engineering as well as application of up-to-date research results and technological achievements in industry. In its fifth issue (2011, 2013, 2015, 2017, 2019) the Proceedings continues with publishing of quality scientific and professional full papers in sections Chemical Analysis and Synthesis (2), Chemical and Biochemical Engineering (3), Food Technology and Biotechnology (4), Medical Chemistry and Pharmacy (2), Environmental Protection (9) and Meeting of Young Chemists (4). All the papers were thoroughly reviewed from respectable evaluators, to whom we express our gratitude. We are also thankful to all the authors and participants of the Ružička days, and to all that support and contribute in its organization; especially our international coorganizers EuCheMS, EFFoST and EHEDG, the members of organizing and scientific committee, plenary and invited lecturers, sponsors, and of course our highly skilled and committed associates, which put a lot of effort in preparation of this book