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Clinical and experimental obstetrics & gynecology · 2015

A new surgical approach for the management of severe postpartum hemorrhage due to uterine atony: preliminary results in 27 cases.

СтатьяНазвание и аннотация: Перевод в очереди
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Acar A, Karatayli R, Sayal B, Elçi A

Аннотация

PURPOSE OF INVESTIGATION: To demonstrate a new suturing technique that effectively reduces severe postpartum hemorrhage secondary to uterine atony.

MATERIALS AND METHODS: The study consisted of 27 patients with persistent postpartum bleeding due to uterine atony which was unresponsive to medical treatment. The patients were treated with ∞ compression sutures that passed through entire uterine wall on which the placenta was located and were knotted within uterine cavity. Demographic properties, complications, operative results are demonstrated.

RESULTS: Uterine bleeding was controlled in 26 of 27 cases (%96.3). Total abdominal hysterectomy was performed in only one patient who had persistent incision site bleeding and disseminated intravascular coagulation.

CONCLUSION: Uterine atony is an emergency and early intervention is necessary. As indicated by the preliminary results, the new technique effectively stopped bleeding in 96.3% of cases; no other techniques were carried out additionally. The technique is promising with properties as easy applicability, safety, and absence of major complications. A larger study is needed for further comparison of operative results.

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