The combination of intrauterine balloon tamponade and the B-Lynch procedure for the treatment of severe postpartum hemorrhage

被引：79

作者：

Diemert, Anke ^{[1
]}

Ortmeyer, Gerhard ^{[1
]}

Hollwitz, Bettina ^{[1
]}

Lotz, Manuela ^{[1
]}

Somville, Thierry ^{[1
]}

Glosemeyer, Peter ^{[1
]}

Diehl, Werner ^{[1
]}

Hecher, Kurt ^{[1
]}

机构：

[1] Univ Med Ctr Hamburg Eppendorf, Dept Obstet & Fetal Med, Hamburg, Germany

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2012年 / 206卷 / 01期

关键词：

Bakri balloon; B-Lynch; postpartum hemorrhage; MANAGEMENT; SUTURES;

D O I：

10.1016/j.ajog.2011.07.041

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: To evaluate intrauterine balloon tamponade with or without B-Lynch sutures in avoiding postpartum hysterectomy in cases with severe postpartum hemorrhage. STUDY DESIGN: Retrospective analysis using all women delivering between January 2005 and July 2010 in our center. Prevention of hysterectomy was the main outcome studied. RESULTS: Twenty-four cases of severe postpartum hemorrhage occurred in which medical treatment alone failed. In 20 cases, the Bakri balloon was the first choice to stop hemorrhage. Sixty percent (n = 12) of these were successfully treated with the balloon alone, 30% (n = 6) with the balloon and the B-Lynch suture. Therefore, 90% (n = 18) were successfully treated with the balloon as part of the treatment. The balloon tamponade was not successful in 2 cases. Four cases were treated with emergency hysterectomy a priori. CONCLUSION: The Bakri balloon with or without B-Lynch sutures in a stepwise approach is an effective option for the treatment of severe PPH.

引用

页码：65.e1 / 65.e4

页数：4

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