title: [Value of the Linton-Nachlas balloon for the management of post-partum hemorrhage: a series of 25 cases].
abstract: OBJECTIVE
  Post-partum hemorrhage (PPH) is the first cause of maternal mortality in France. Uterine tamponade is an alternative in the management of PPH. We investigated the efficiency of the Linton-Nachlas balloon in treating severe PPH in a French Guiana center where interventional radiology is not available.
  
  
  METHODS
  In this retrospective study, 25 women with severe PPH were included. Severe PPH is defined by the persistence of PPH despite sulprostone treatment. All women included in the study gave birth by vaginal delivery. The Linton-Nachlas balloon (Coloplast(®), France) used for digestive hemorrhage was inserted transvaginally. The primary endpoint for the efficiency was stopping PPH.
  
  
  RESULTS
  The use of this balloon stopped the bleeding for 24 out of 25 patients (96 %). There was one case in which the treatment by the balloon was a failure. In that case, vaginal packing stopped the hemorrhage. No patient needed any complementary surgical treatment.
  
  
  CONCLUSIONS
  This technique is a non-invasive, inexpensive, easy and efficient treatment. Most of the time, its use can stop hemorrhage and preserve fertility of young women wishing further pregnancies.
authors.affiliation: Service de Gynécologie-Obstétrique, Centre Hospitalier de l'Ouest Guyanais-Franck-Joly, Guyane française; Service de gynécologie-obstétrique, CHU 14000 Caen, France.
authors.forename: A
authors.initials: A
authors.lastname: Florian
authors.forename: G
authors.initials: G
authors.lastname: Carles
authors.forename: F
authors.initials: F
authors.lastname: Dallah
authors.forename: N
authors.initials: N
authors.lastname: Ibrahim
authors.forename: N
authors.initials: N
authors.lastname: Alassas
authors.forename: C
authors.initials: C
authors.lastname: Duvivier
mesh_terms: D001803:Blood Transfusion / Q000706:statistics & numerical data; D015331:Cohort Studies; D004322:Drainage / Q000379:methods; D005260:Female; D005616:French Guiana / Q000453:epidemiology; D006801:Humans; D006473:Postpartum Hemorrhage / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D011247:Pregnancy; D012720:Severity of Illness Index; D065227:Transfusion Reaction; D014463:Ultrasonography; D058738:Uterine Balloon Tamponade / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D014599:Uterus / Q000000981:diagnostic imaging
keywords: Atonie utérine; Ballon intra-utérin; Hémorragie du post-partum; Intrauterine balloon; Linton-Nachlas balloon; Post-partum hemorrhage; Sonde de Linton-Nachlas; Tamponade test; Test de tamponnement; Uterine atony