A useful technique for the control of severe cesarean hemorrhage: report of three cases.
When we are confronted with a patient experiencing placenta previa with massive hemorrhage in cesarean delivery, hemostasis is first attempted using uterotonic drugs, uterine massage, and intrauterine packing. However, if these maneuvers fail, then uterine artery ligation, whole myometrial suture, and subendometrial vasopressin injection should be attempted. Perhaps these procedures alone or in combination can successfully control the hemorrhage. Every obstetrician must be familiar with these simple methods in order to avoid having to perform a hysterectomy and thus preserving the reproductive capability, as well as diminishing the operative morbidity. Finally, we described a full thickness suture for the placental site of bleeding for the lower uterine segment.
Li
Yiu-Tai
YT
Department of Obstetrics and Gynecology, Chung Shan Hospital, Taipei, Taiwan, ROC. drgynobs@yam.com
Yin
Chang-Sheng
CS
Chen
Fu-Min
FM
Chao
Te-Chang
TC
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006489:Hemostatic Techniques; D006801:Humans; D010923:Placenta Previa / Q000150:complications*; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D013536:Suture Techniques