Vaginal ligature of uterine arteries during postpartum hemorrhage.
Immediate postpartum hemorrhage due to uterine inertia is usually treated by injection of oxytocics. In some situations, bleeding continues and distends the uterine cavity, in turn disturbing the hemostasis that accompanies uterine retraction. Uterine bleeding must be rapidly reduced while the coagulation defect is corrected. The authors propose the vaginal ligature of uterine arteries, which can be performed in the delivery room, as an alternative to hysterectomy.
Philippe
H J
HJ
Department of Obstetrics and Gynecology, C.H.I. Poissy, Université Paris V, France.
d'Oreye
D
D
Lewin
D
D
D000328:Adult; D001158:Arteries / Q000601:surgery; D005260:Female; D006801:Humans; D008026:Ligation; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D012039:Regional Blood Flow; D014593:Uterine Inertia / Q000150:complications; D014599:Uterus / Q000098:blood supply*