{
  "abstract": "Background: Obstetric hysterectomy remains a life-saving intervention for placenta accreta spectrum and uncontrolled obstetric hemorrhage. Evidence regarding the outcomes of planned versus urgent obstetric hysterectomy in contemporary tertiary practice in Greece remains limited. We compared maternal and neonatal outcomes between elective and urgent procedures at a tertiary referral center in Thessaloniki. Methods: We retrospectively reviewed 30 women who underwent obstetric hysterectomy between January 2020 and June 2025. The elective group included women with prenatal PAS diagnosis and planned delivery at ≥34 weeks (n = 17), whereas the urgent group included women requiring unplanned delivery for hemorrhage or active labor without prior surgical preparation (n = 13). Maternal characteristics, intraoperative findings, transfusion requirements, complications, hospital stay, and neonatal outcomes were compared using bivariate statistical tests. Results: Maternal age was similar between groups (36.1 ± 6.1 vs. 37.9 ± 6.8 years; p = 0.44). Elective cases had higher parity (median 3 vs. 1; p = 0.002), had more previous cesarean deliveries (median 2 vs. 0; p = 0.002), and were more frequently diagnosed with placenta previa (p = 0.027). Uterine atony occurred more often in urgent cases (p < 0.001). Bakri balloon tamponade was used only in urgent cases and failed to control hemorrhage (p < 0.001). Operative time, transfusion requirement, hospital stay, and urinary tract injury rates were comparable. No maternal deaths occurred. Birth weight, Apgar scores, and NICU admission rates were also similar. Conclusions: Planned obstetric hysterectomy within a multidisciplinary setting was associated with fewer emergency hemorrhage-control interventions, while major perioperative and neonatal outcomes were comparable between groups.",
  "abstract_shown": true,
  "affiliations": [
    "2nd Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Faculty of Health Sciences, Medical School, General Hospital of Thessaloniki “Ippokratio”, 54642 Thessaloniki, Greece",
    "Department of Hygiene and Epidemiology, University of Ioannina, Medical School, 45500 Ioannina, Greece",
    "1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Faculty of Health Sciences, Medical School, General Hospital of Thessaloniki “Papageorgiou”, 56403 Thessaloniki, Greece"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 12,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Stefanos Flindris",
      "orcid": "0000-0002-2361-3470"
    },
    {
      "affs": [
        0
      ],
      "name": "Margioula-Siarkou Chrysoula",
      "orcid": "0000-0002-2420-4003"
    },
    {
      "affs": [
        1
      ],
      "name": "Konstantinos Christopoulos",
      "orcid": "0000-0002-3221-7226"
    },
    {
      "affs": [
        0
      ],
      "name": "Georgia Margioula-Siarkou"
    },
    {
      "affs": [
        0
      ],
      "name": "Ioannis Chatzikalogiannis"
    },
    {
      "affs": [
        0
      ],
      "name": "Michail Kalinderis"
    },
    {
      "affs": [
        0
      ],
      "name": "Alexandros Traianos"
    },
    {
      "affs": [
        0
      ],
      "name": "Elif Empliouk"
    },
    {
      "affs": [
        0
      ],
      "name": "Konstantinos Pantazis"
    },
    {
      "affs": [
        2
      ],
      "name": "Alexandros Sotiriadis",
      "orcid": "0000-0003-0876-5596"
    },
    {
      "affs": [
        0
      ],
      "name": "Konstantinos Dinas",
      "orcid": "0000-0001-7144-2840"
    },
    {
      "affs": [
        0
      ],
      "name": "Stamatios Petousis",
      "orcid": "0000-0002-5564-0406"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0ry2ege8x6ymj.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15197738",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13666389/?tool=EBI",
  "id": "0ry2ege8x6ymj",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13666389",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2735|Maternal and fetal healthcare"
    ]
  ],
  "openalex": "W7221119891",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13666389/pdf/?tool=EBI",
  "pmcid": "PMC13666389",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/0ry2ege8x6ymj.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:31Z",
      "native_id": "PMC:PMC13666389",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13666389"
    },
    {
      "first_seen": "2026-10-30T12:20:00Z",
      "native_id": "10.3390/jcm15197738",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/19/7738"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2735|Maternal and fetal healthcare",
      "subfield": "reproductive-child"
    }
  ],
  "title": "Obstetric Hysterectomy at a Greek Tertiary Referral Center: Differences in Maternal and Neonatal Outcomes Between Elective and Urgent Procedures",
  "title_text": "Obstetric Hysterectomy at a Greek Tertiary Referral Center: Differences in Maternal and Neonatal Outcomes Between Elective and Urgent Procedures",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:00Z",
  "url": "https://research.draconitic.com/paper/0ry2ege8x6ymj",
  "venue": "Journal of clinical medicine",
  "versions": []
}