geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Application of uterine compression suture in association with intrauterine balloon tamponade ('uterine sandwich') for postpartum hemorrhage


, : Application of uterine compression suture in association with intrauterine balloon tamponade ('uterine sandwich') for postpartum hemorrhage. Acta Obstetricia et Gynecologica Scandinavica 91(1): 147-151

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 22 hours (range 17-27 hours), 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.

US$19.90

PMID: 21501126

DOI: 10.1111/j.1600-0412.2011.01153.x


Other references

Regoeczi, E.; Hatton, M.W.; Charlwood, P.A., 1975: Carbohydrate-mediated elimination of avian plasma glycoprotein in mammals. Nature 254(5502): 699-701

May, E.B., 1966: The Biflon system. Work on spraying of high viscosity water-in-oil emulsions of herbicides is reviewed with reference to brush, aquatic weeds and cereals.

Kela, N., 2007: Drug administration by gastrostomy tube. Pflege Zeitschrift 60(1): 14-16

Beer, H. de; Wentzel, J., 2003: Consumers perspective on the use of antibiotics and the incidence of resistance in environmental organisms in the Central Free State. In the environmental setting, a constant low-level exposure to antimicrobial agents can lead to the development of resistance due to mutations in bacteria. The use of antibiotics for veterinary medicine, prophylactics or growth promotion and feed...

Aburano, T.; Yokoyama, K.; Hisada, K.; Kakuma, K.; Ichiyanagi, K., 1988: The role of Ga-67 citrate imaging in pancreatitis. Two patients with pancreatitis in whom an area of predominant uptake of Ga-67 citrate was demonstrated involving the entire pancreas are presented. Ultrasound and x-ray CT did not reveal any morphologic abnormalities in the pancreas, whereas Ga-67...

Coureaud, Gérard.; Languille, Sène.; Schaal, B.; Hars, B., 2009: Pheromone-induced olfactory memory in newborn rabbits: Involvement of consolidation and reconsolidation processes. Mammary pheromone (MP)-induced odor memory is a new model of appetitive memory functioning early in a mammal, the newborn rabbit. Some properties of this associative memory are analyzed by the use of anisomycin as an amnesic agent. Long-term memor...

Hall, R.R., 1988: Lymphadenectomy in the management of bladder cancer. Progress in Clinical and Biological Research 260: 321-327

Redjems-Bennani, N.; Jeandel, C.; Lefebvre, E.; Blain, H.; Vidailhet, M.; Guéant, J.L., 1998: Abnormal substrate levels that depend upon mitochondrial function in cerebrospinal fluid from Alzheimer patients. Background: Impaired oxidative and energy metabolism are important features in Alzheimer's disease. These metabolic abnormalities may induce functional disturbances and are associated with significant cognitive impairment. Objective: To deter...

Pereira, K.; Salsamendi, J.; Dalal, R.; Quintana, D.; Bhatia, S.; Fan, J., 2016: Percutaneous Endovascular Therapeutic Options in Treating Posttransplant Hepatic Artery Thrombosis With the Aim of Salvaging Liver Allografts: Our Experience. Hepatic artery thrombosis remains a major complication after orthoptic liver transplant. Treatment of hepatic artery thrombosis is complex and requires a multidisciplinary approach. Retransplant is the procedure of choice. In nonsurgical candidate...

Murphy, P.R., 1982: The patterns of discharge of static and dynamic c motoneurones in the decerebrate rabbit. The Journal of Physiology 333: 37