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Novel intrauterine balloon tamponade systems for postpartum hemorrhage

Content Provider	Scilit
Author	Kondoh, Eiji Chigusa, Yoshitsugu Ueda, Akihiko Mogami, Haruta Mandai, Masaki
Copyright Year	2019
Description	Journal: Acta Obstetricia et Gynecologica Scandinavica Postpartum hemorrhage is the most common cause of maternal death worldwide. Although intrauterine balloon tamponade has been widely used as an effective procedure to control atonic postpartum hemorrhage, intrauterine balloon tamponade fails to control postpartum hemorrhage in approximately one-fifth of cases. The aim of this study was to evaluate the efficacy of novel intrauterine balloon tamponade systems for postpartum hemorrhage. We have developed two novel intrauterine balloon tamponade systems to maintain proper balloon placement. One was a shaft cover with its fixture system and the other was "the Kyoto balloon system" designed to provide direct pressure onto the upper uterine cavity. The efficacy of the intrauterine balloon tamponade systems was evaluated using a silicone three-dimensionally printed postpartum uterine cavity model. Measurements of balloon displacement during inflation showed that the shaft cover significantly prevented the Bakri balloon from being displaced. The residual fluid volume in the upper uterine cavity was significantly less with the Kyoto balloon system than with the Bakri balloon system, indicating the effectiveness of the Kyoto balloon for upper uterine cavity tamponade. These innovative intrauterine balloon tamponade systems were effective for prevention of balloon displacement and for balloon tamponade of the upper uterine cavity in a 3D-printed postpartum-specific uterine cavity model.
Ending Page	1617
Starting Page	1612
ISSN	00221295
e-ISSN	16000412
DOI	10.1111/aogs.13692
Journal	Acta Obstetricia et Gynecologica Scandinavica
Issue Number	12
Volume Number	98
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2019-12-01
Access Restriction	Open
Subject Keyword	Journal: Acta Obstetricia et Gynecologica Scandinavica Obstetrics and Gynecology Balloon Displacement Balloon Tamponade Postpartum Hemorrhage
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

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