Use of hemostatic gel in postpartum hemorrhage due to placenta previa.
BACKGROUND
Hemostasis for placenta previa is notoriously difficult because of the poor contractility of the lower segment. A hemostatic gel offers a new type of hemostatic matrix, which may have advantages.


METHODS
A 35-year-old woman had a postpartum hemorrhage despite the use of uterotonics 2 hours after cesarean delivery for major placenta previa. On relaparotomy, heavy oozing from the placental site was found. Difficult accessibility and profuse bleeding prompted the consideration of alternative treatment with the topical application of hemostatic gel over the lower segment, which achieved hemostasis within minutes.


CONCLUSIONS
Hemostatic gel is easily applicable and provides quick and effective hemostatic control in the lower segment, where surgical intervention may be difficult.
Law
Lai Wa
LW
From the Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
Chor
Chung Ming
CM
Leung
Tak Yeung
TY
D000287:Administration, Topical; D000328:Adult; D002585:Cesarean Section; D005260:Female; D005781:Gelatin Sponge, Absorbable / Q000008:administration & dosage*; D005782:Gels / Q000627:therapeutic use; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D010923:Placenta Previa / Q000628:therapy*; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D012086:Reoperation
C411004:FloSeal Matrix; D005782:Gels; D006490:Hemostatics