TY - JOUR
T1 - Application of uterine compression suture in association with intrauterine balloon tamponade ('uterine sandwich') for postpartum hemorrhage
AU - Yoong, Wai
AU - Ridout, Alexandra
AU - Memtsa, Maria
AU - Stavroulis, Andreas
AU - Aref-Adib, Mernoosh
AU - Ramsay-Marcelle, Zeudi
AU - Fakokunde, Abiodun
PY - 2012/1
Y1 - 2012/1
N2 - 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.
AB - 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.
KW - Bakri balloon
KW - Hayman suture
KW - postpartum hemorrhage
KW - uterine compression suture
KW - uterine sandwich
UR - http://www.scopus.com/inward/record.url?scp=83455201505&partnerID=8YFLogxK
U2 - 10.1111/j.1600-0412.2011.01153.x
DO - 10.1111/j.1600-0412.2011.01153.x
M3 - Review article
C2 - 21501126
AN - SCOPUS:83455201505
SN - 0001-6349
VL - 91
SP - 147
EP - 151
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
IS - 1
ER -