Pelvic packing method (after two laparotomies): a salvage procedure to control intractable pelvic hemorrhage after vaginal hysterectomy: a case report.
BACKGROUND
Hysterectomy is one of the most commonly performed operative procedures in the world and hemorrhage continues to be a serious complication of both obstetrical and gynecologic surgeries. The pelvic packing technique is a useful alternative to control pelvic bleeding when standard measures fail.


METHODS
A 45-year-old premenopausal women with a history of pelvic pain and obstructive voiding symptoms underwent vaginal hysterectomy. Intraabdominal bleeding persisted after surgery and relaparotomy was performed. After routine surgical techniques failed to achieve adequate hemostasis, a pelvic packing technique was successfully used to tamponade the pelvic bleeding.


CONCLUSIONS
When traditional methods of controlling pelvic hemorrhage fail, pelvic packing can be used as an unusual method for intractable pelvic hemorrhage. We successfully used the pelvic packing technique in a premenopousal patient with intractable hemorrhage after vaginal hysterectomy and this technique saved the patient's life.
Kale
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A
Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey. drakale@dicle.edu.tr
Kuyumcuoğlu
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U
D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D010535:Laparoscopy; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000601:surgery / Q000628:therapy*; D012086:Reoperation; D013630:Tampons, Surgical; D017211:Treatment Failure; D014596:Uterine Prolapse / Q000601:surgery