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

共 22 条

[11] Balloon tamponade in the management of postpartum haemorrhage: a review [J].

Georgiou, C. .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2009, 116 (06) :748-757

[12] Uterine compression U-sutures in primary postpartum hemorrhage after Cesarean section: fertility preservation with a simple and effective technique [J].

Hackethal, A. ;

Brueggmann, D. ;

Oehmke, F. ;

Tinneberg, H. -R. ;

Zygmunt, M. T. ;

Muenstedt, K. .

HUMAN REPRODUCTION, 2008, 23 (01) :74-79

[13] Balloon Tamponade of Hemorrhage After Uterine Curettage for Gestational Trophoblastic Disease [J].

Kolomeyevskaya, Nonna V. ;

Tanyi, Janos L. ;

Coleman, Neil M. ;

Beasley, Anitra D. ;

Miller, Harold J. ;

Anderson, Matthew L. .

OBSTETRICS AND GYNECOLOGY, 2009, 113 (02) :557-560

[14] Pregnancy complicated by a uterine fundal defect resulting from a previous B-Lynch suture [J].

Kumara, Y. V. A. L. Saman ;

Marasinghe, J. P. ;

Condous, G. ;

Marasinghe, U. .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2009, 116 (13) :1815-1817

[15] Postpartum hemorrhage today: ICM/FIGO initiative 2004-2006 [J].

Lalonde, A. ;

Daviss, B. A. ;

Acosta, A. ;

Herschderfer, K. .

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2006, 94 (03) :243-253

[16]

Lewis G., 2004, Why mothers die, 2000-2002: The sixth report of confidential enquiries into maternal deaths in the United Kingdom

[17] The uterine sandwich for persistent uterine atony: combining the B-Lynch compression suture and an intrauterine Bakri balloon [J].

Nelson, Wendy L. ;

O'Brien, John M. .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2007, 196 (05) :e9-e10

[18] A comparison between visual estimation and laboratory determination of blood loss during the third stage of labour [J].

Razvi, K ;

Chua, S ;

Arulkumaran, S ;

Ratnam, SS .

AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 1996, 36 (02) :152-154

[19] Trends in adverse maternal outcomes during childbirth: a population-based study of severe maternal morbidity [J].

Roberts, Christine L. ;

Ford, Jane B. ;

Algert, Charles S. ;

Bell, Jane C. ;

Simpson, Judy M. ;

Morris, Jonathan M. .

BMC PREGNANCY AND CHILDBIRTH, 2009, 9

[20] Case-control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta [J].

Shrivastava, Vineet ;

Nageotte, Michael ;

Major, Carol ;

Haydon, Michael ;

Wing, Deborah .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2007, 197 (04) :402.e1-402.e5

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