Uterine compression sutures: Surgical management of postpartum hemorrhage

被引:237
作者
Hayman, RG
Arulkumaran, S
Steer, PJ
机构
[1] Derby City Hosp, Dept Obstet & Gynaecol, Derby DE22 3NE, England
[2] Univ London Imperial Coll Sci Technol & Med, Dept Maternal Fetal Med, Chelsea & Westminster Hosp, London, England
关键词
D O I
10.1016/S0029-7844(01)01643-X
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
BACKGROUND: It has been estimated that worldwide, over 125,000 women die of postpartum hemorrhage each year. The traditional management of this condition includes the use of oxytocics, such as oxytocin, ergometrine, and prostaglandins, before proceeding to ligation of the internal iliac arteries and even hysterectomy. The B-Lynch technique is a surgical procedure that may be used to arrest postpartum hemorrhage resulting from uterine atony. CASES: This paper describes simple modifications of this technique that make this procedure less complex to perform. Three clinical case scenarios illustrate the context in which the sutures may be used. CONCLUSION: Compression sutures placed into the postpartum uterus may provide a simple first surgical step to control bleeding when routine oxytocic measures have failed. We suggest that the technique we have described is a simple procedure and should be tried before more complex interventions are used. (C) 2002 by the American College of Obstetricians and Gynecologists.
引用
收藏
页码:502 / 506
页数:5
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