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A resuscitative hysterotomy, also referred to as a perimortem Caesarean section (PMCS) or perimortem Caesarean delivery (PMCD), is a hysterotomy performed to resuscitate a woman in middle to late pregnancy who has entered cardiac arrest. [1]
A hysterotomy is an incision made in the uterus. [1] This surgical incision is used in several medical procedures, including during termination of pregnancy in the second trimester (or abortion ) and delivering the fetus during caesarean section .
A resuscitative hysterotomy, also known as a peri-mortem caesarean delivery, is an emergency caesarean delivery carried out where maternal cardiac arrest has occurred, to assist in resuscitation of the mother by removing the aortocaval compression generated by the gravid uterus.
Acidosis (hydrogen cation excess) is an abnormal pH in the body as a result of lactic acidosis which occurs in prolonged hypoxia and in severe infection, diabetic ketoacidosis, kidney failure causing uremia, or ingestion of toxic agents or overdose of pharmacological agents, such as aspirin and other salicylates, ethanol, ethylene glycol and other alcohols, tricyclic antidepressants, isoniazid ...
bi- : two, from the Latin prefix *bi, meaning "two". colono- : related to large intestine colon, from the latin cōlon, "clause [of a poem]", itself from the Greek κωλον, cōlon, "clause, member, part" colpo- : related to the vagina, from the Ancient Greek κόλπος, cólpos, meaning "hollow space", but also a synonym for "womb"
Advanced trauma life support – American medical training program; Cardiopulmonary resuscitation – Emergency procedure after sudden cardiac arrest; Emergency Preservation and Resuscitation – Experimental emergency medicine procedure; Fluid replacement, also known as Fluid resuscitation – Medical practice of replenishing bodily fluid
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A hysterotomy is performed on the pregnant woman, and once the uterus is open and the fetus is exposed, the fetal surgery begins. Typically, this surgery consists of an interim procedure intended to allow the fetus to remain in utero until it has matured enough to survive delivery and neonatal surgical procedures.