Uterine folding hemostasis: a simpler and safer technique for controlling atonic postpartum hemorrhage
| Autor: | Guang-Rui Li, Xiao-Nian Wang, Guang-Tai Li, Hong-Mei Xu, Bao-Ping Wu |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Uterus 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy medicine Humans 030212 general & internal medicine Hemostasis 030219 obstetrics & reproductive medicine postpartum bleeding Sutures business.industry Uterine Inertia Cesarean Section Arterial Embolization Postpartum Hemorrhage Suture Techniques Obstetrics and Gynecology General Medicine medicine.disease Embolization Therapeutic Hemostasis Surgical Surgery Uterine atony medicine.anatomical_structure Fundus (uterus) Anesthesia Female Uterine cavity business |
| Zdroj: | Archives of gynecology and obstetrics. 294(4) |
| ISSN: | 1432-0711 |
| Popis: | To observe the efficacy and safety of a uterine folding hemostatic technique in controlling atonic postpartum hemorrhage (PPH) during cesarean delivery. Thirty-nine women with severe postpartum bleeding from uterine inertia, which did not react to conventional initial management protocols, underwent a uterine folding hemostasis. The procedure was to fold the uterine fundus onto the anterior wall of the corpus uterus using an absorbable suture that thread tautly through the inner myometrial layer of the uterus 1–3 cm below the fundus (not entered into uterine cavity) and 1–2 cm above and below the CS incision (entered into uterine cavity 2–4 cm medal to bilateral border of the uterus). The technique was sufficient to stanch bleeding immediately in 32 patients (82.1 %). Seven women underwent hypogastric arteries ligation (1 case) or uterine arterial embolization (6 cases) because of continuous bleeding after the procedure. There were no morbidities or abnormalities of the uterus in these 32 patients. Eight women had pregnancies after this hemostasis and the others lacked the desire for future pregnancy. Uterine folding hemostasis is a simple, safe and effective technique to control the atonic PPH. |
| Databáze: | OpenAIRE |
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