title: Cervical tourniquet in case of uncontrollable haemorrhage during caesarean section owing to a placenta accreta.
abstract: This case report describes a 38-year-old woman in whom a primary caesarean section for placenta previa was complicated by postpartum haemorrhage due to a placenta accreta. Despite tamponade with a Bakri balloon and placement of a B-Lynch suture, the amount of blood loss could not be effectively reduced. The blood loss was eventually minimised by the placement of a Penrose drain around the cervix as a cervical tourniquet. We think that a cervical tourniquet is an effective method of stopping haemorrhage during caesarean section, as shown in this case report, and we consider this technique to be a valuable addition to several existing methods through which fertility is preserved by preventing emergency hysterectomy.
authors.affiliation: Department of Obstetrics & Gynaecology, OLVG, Amsterdam, Noord-Holland, The Netherlands. quirine_h@hotmail.com
authors.forename: Q C A
authors.initials: QC
authors.lastname: Huijgen
authors.forename: A F
authors.initials: AF
authors.lastname: Gijsen
authors.forename: E
authors.initials: E
authors.lastname: Hink
authors.forename: P J M
authors.initials: PJ
authors.lastname: Van Kesteren
mesh_terms: D000328:Adult; D002585:Cesarean Section; D004715:Endometriosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000601:surgery*; D011183:Postoperative Complications / Q000188:drug therapy; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D014111:Tourniquets