Nenamjerna trauma i komplikacije tijekom carskog reza

master's thesis

• Title (english): Unintentional trauma and complications during Cesarean section
• Author: Lucija Lesjak
• Mentor: Vladimir Blagaić (mentor)
• Committee member: Tatjana Pavelić Turudić (predsjednik povjerenstva)
• Committee member: Željko Duić (član povjerenstva)
• Committee member: Vladimir Blagaić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Gynecology and Obstetrics); Zagreb
• Defense date and country: 2024-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Gynecology and Obstetrics

Abstract

Carski rez je kirurški zahvat ekstrakcije djeteta kroz rez napravljen na trbušnoj stijenci (laparotomija) i maternici (uterotomija) majke te je jedan od najčešćih kirurških zahvata u ginekologiji. Incidencija carskog reza je u porastu te se sve češće izvodi, što iz opravdanih medicinskih razloga, što na zahtjev pacijentice. Prema istraživanjima Svjetske zdravstvene organizacije (WHO), incidencija poroda carskim rezom do 2030. godine će biti 29% , što čini gotov jednu trećinu svih poroda. Carski rez spašava život majke i djeteta u opravdanim situacijama, kao što su fetalna distocija, kefalopelvina disproporcija, poremećaj placentacije i sijela posteljice te produljeni porod. Iako su se znanja, tehnike i način izvođenja carskog reza od samih početaka pa do danas značajno promijenili, a morbiditet i mortalitet su se nemjerljivo smanjili, treba imati na umu da je i carski rez velika operacija koja sa sobom nosi i moguće komplikacije i za majku i za fetus. Bitno je naglasiti da je kvaliteta izvođenja carskog reza uz regionalnu anesteziju dovela do povećanog broja ponavljanog carskog reza koji sa sobom nosi najveće rizike i komplikacije. Maternalne komplikacije su češće i uključuju širok spektar; od krvarenja, ozljeda mokraćnog i probavnog sustava, infekcija, plućnih embolija pa do kasnih komplikacija kao što su fistule i endometrioze u ožiljku carskog reza. Posljedice za novorođenče najčešće nastaju tijekom ekstrakcije ili tijekom zarezivanja maternice te uključuju laceracije, ozljede dugih kostiju (humerus i femur), ozljede brahijalnog pleksusa i u nekim najtežim slučajevima ozljede kralježnične moždine sa posljedičnom smrti.

Abstract (english)

Cesarean section is a surgical procedure involving the extraction of a child through an incision made in the abdominal wall (laparotomy) and the uterus (hysterotomy) of the mother, and it is one of the most common surgical procedures in gynecology. The incidence of cesarean sections is on the rise and is being performed increasingly often, both for justified medical reasons and at the patient's request. According to research by the World Health Organization (WHO), the incidence of cesarean deliveries will reach 29% by 2030, which will constitute nearly one-third of all deliveries. A cesarean section saves the lives of the mother and child in justified situations, such as fetal dystocia, cephalopelvic disproportion, placental disorders, and prolonged labor. Although the knowledge, techniques, and methods of performing cesarean sections have significantly changed since their inception, and morbidity and mortality rates have been dramatically reduced, it is essential to remember that a cesarean section is a major surgery that carries potential complications for both the mother and the fetus. It is important to note that the quality of performing cesarean sections with regional anesthesia has led to an increased number of repeat cesarean sections, which carry the highest risks and complications. Maternal complications are more frequent and include a wide range; from hemorrhage, injuries to the urinary and digestive systems, infections, and pulmonary embolisms, to late complications such as fistulas and endometriosis in the cesarean section scar. Neonatal consequences often arise during extraction or during uterine incision and include lacerations, injuries to long bones (humerus and femur), brachial plexus injuries, and in some severe cases, spinal cord injuries with consequent death.

• Keywords: carski rez; komplikacije; maternalne komplikacije; fetalne komplikacije
• Keywords (english): Cesarean section; complications; maternal complications; fetal complicatons
• Language: croatian
• URN:NBN: urn:nbn:hr:105:892956
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-06-29 07:25:26