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Application of uterine compression suture in association with intrauterine balloon tamponade (‘uterine sandwich’) for postpartum hemorrhage
| Content Provider | Scilit |
|---|---|
| Author | Yoong, Wai Ridout, Alexandra Memtsa, Maria Stavroulis, Andreas Aref‐Adib, Mernoosh Ramsay‐Marcelle, Zeudi Fakokunde, Abiodun |
| Copyright Year | 2011 |
| Description | Journal: Acta Obstetricia et Gynecologica Scandinavica We evaluated in a prospective observational study the use of a 'uterine sandwich' technique (uterine compression sutures in association with intrauterine tamponade) in women who had had unsuccessful medical treatment for postpartum hemorrhage. Ten of the 11 patients had cesarean sections (complicated by placenta previa and uterine atony) and one had a normal delivery. The median estimated blood loss and units of blood transfused were 1500ml (range 750–4000ml) and two units (range 0–9), respectively. B‐Lynch sutures were placed in two patients and Hayman's modification was used in nine. Bakri balloon tamponade was in place for a median of 22hours (range 17–27hours), while the median volume infused in the balloon was 300ml (range 150–350ml). The combined technique was successful in avoiding hysterectomy in all cases, and there was no documented postpartum morbidity. This is a simple and quick surgical technique that can be used to treat atonic postpartum hemorrhage, particularly in conjunction with placenta previa. |
| Related Links | http://onlinelibrary.wiley.com/doi/10.1111/j.1600-0412.2011.01153.x/pdf |
| Ending Page | 151 |
| Page Count | 5 |
| Starting Page | 147 |
| ISSN | 00016349 |
| e-ISSN | 16000412 |
| DOI | 10.1111/j.1600-0412.2011.01153.x |
| Journal | Acta Obstetricia et Gynecologica Scandinavica |
| Issue Number | 1 |
| Volume Number | 91 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2011-05-31 |
| Access Restriction | Open |
| Subject Keyword | Journal: Acta Obstetricia et Gynecologica Scandinavica Obstetrics and Gynecology Bakri Balloon Hayman Suture Postpartum Hemorrhage Uterine Compression Suture Uterine Sandwich |
| Content Type | Text |
| Resource Type | Article |
| Subject | Obstetrics and Gynecology |
