TY - CHAP M1 - Book, Section TI - Urologic and Gastrointestinal Injuries A1 - Yeomans, Edward R. A1 - Hoffman, Barbara L. A1 - Gilstrap III, Larry C. A1 - Cunningham, F. Gary PY - 2017 T2 - Cunningham and Gilstrap's Operative Obstetrics, 3e AB - Cesarean delivery is currently the most frequently performed major surgical procedure for women in the United States. More than 1 million procedures are completed each year (MacDorman, 2008). Associated mortality rates are low with this operation, but it has higher maternal morbidity rates during both initial and subsequent pregnancies. In many instances, associated risks for urinary tract and bowel injury are identified preoperatively, and preemptive steps are taken. However, in other cases, undiagnosed adhesive disease, hysterotomy laceration, or unplanned hysterectomy can increase adjacent organ trauma. Thus, all obstetricians ideally are able to recognize these injuries. Simple repairs can be completed in most cases by a generalist. However, more extensive damage often requires consultation with surgeons skilled in these more difficult repairs. Importantly, differentiation between the two is essential to maximize patient outcome. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - obgyn.mhmedical.com/content.aspx?aid=1138215563 ER -