Ginger-

Yes, I'd assume her risk of dehiscence is more in line with a total abdominal hysterectomy. 

I confess I'm intrigued by the idea of a cesarean hysterectomy with pelvic floor repair. I trained (very recently) in a program that emphasized avoiding any "elective" surgery at the time of a cesarean delivery because the blood flow to the pelvic viscera is so high and the risk of hemorrhage increased. 

I can't imagine I'd be performing a c-hyst for anything other than a placenta accreta or similarly dire situation. Which, I would think, would make a simultaneous prolapse repair an odd thing to do. I have no knowledge into your particular patient's situation so there may be a *great* reason. I just can't think of it right now!

Best of luck!

Elizabeth  

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