title: Tourniquet technique prevents profuse blood loss in placenta accreta cesarean section.
abstract: OBJECTIVE
  Profuse bleeding in placenta accreta is life-threatening even under well-prepared cesarean sections.
  
  
  METHODS
  We used a tourniquet technique to temporally shut off blood flow through the uterine and ovarian vessels at the level of the uterine cervix. The tourniquet consisted of manual compression followed by a rubber tube.
  
  
  RESULTS
  Total blood loss in cesarean section and hysterectomy in the two cases in which we applied this technique was significantly reduced compared with that in the two cases without it.
  
  
  CONCLUSIONS
  This technique not only prevented massive bleeding from the accreted placentation, but also allowed physicians time to consider the necessity of subsequent hysterectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Miyazaki Medical College, University of Miyazaki, Miyazaki, Japan. tikeda44@hotmail.com
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Ikeda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sameshima
authors.forename: Hideki
authors.initials: H
authors.lastname: Kawaguchi
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Yamauchi
authors.forename: Tsuyomu
authors.initials: T
authors.lastname: Ikenoue
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010921:Placenta Accreta / Q000601:surgery*; D011247:Pregnancy; D014111:Tourniquets