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A retrospective study of 40 hysterectomies due to hemorrhage performed at the "Hospital das Clínicas, Faculdade de Medicina de São Paulo", from January 1978 to August 1989 was conducted in order to determine which type of hysterectomy (total or subtotal) is better indicated during the pregnant-puerperal period. We analyzed operating time, quantity of blood derivatives transfused during the intra- and postoperative periods, time of postoperative hospitalization, number of intra- and postoperative complications, and deaths. The results did not show statistically significant differences between the two types of hysterectomy. We conclude that total hysterectomy is preferable in any clinical situation, especially in the presence of uterine atony and low implanted placenta.

A retrospective review of 85 hysterectomies performed during the pregnant-puerperal period was conducted at the Clinics Hospital of Medicine of Ribeirão Preto (University of São Paulo) from 1978 to August 1989 with the purpose of evaluating the number of concomitant oophorectomies. 25 oophorectomies with histological studies were performed, of which 11 (44%) presented normal ovaries; six (24%), despite the normal histological results, had adnexal hematomae requiring resection in the laparotomy; and the last eight (32%) had infection. Average age of the patients was 32.8 years. The authors concluded that there was a high number of unnecessary oophorectomies.