Pelvic Packing for Intractable Obstetric Hemorrhage After Emergency Peripartum Hysterectomy: A Review

Obstetrical & Gynecological Survey
Omar TouhamiHayen El Magherbi

Abstract

Postpartum hemorrhage (PPH) is the leading cause of maternal mortality worldwide. Even after emergency peripartum hysterectomy (EPH), bleeding may occur in the setting of acquired coagulopathy. This type of bleeding resistant to clipping, ligating, or suturing could be successfully controlled with a pelvic packing. This review provides an overview of the different pelvic packing techniques used after the failure of an EPH to control severe PPH. It aims to highlight the outcome of patients after packing, the morbidity and complications of packing, the timing and indications of packing, and finally the optimal duration of packing. Literature relating to pelvic packing after EPH in a PPH setting was reviewed. Packing techniques can be divided into 2 types: pads or roller gauze and balloon pack. The overall success rate was as high as 78.8% with a mortality rate of 12.5%. No major morbidity related to the pelvic packing was documented. The optimal duration of packing is in the range of 36 to 72 hours. Pelvic packing should be part of the armamentarium available to the obstetrician whenever intractable pelvic hemorrhage is encountered. It is quite simple and quick to perform and requires no special medical materials, the rate of com...Continue Reading

References

May 1, 1992·Annals of Surgery·K W Sharp, R J Locicero
Oct 1, 1990·American Journal of Perinatology·G F RobieL Wasemiller-Smith
Apr 1, 1981·The Journal of Trauma·D V FelicianoG L Jordan
May 1, 1993·American Journal of Obstetrics and Gynecology·C M ZelopD H Saltzman
Sep 16, 1999·Archives of Surgery·D M CarusoR C Samaco
Oct 30, 2001·Gynécologie, obstétrique & fertilité·A AgostiniJ M Bereder
Oct 30, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S GhourabM Al-Salman
Feb 2, 2006·Obstetrics and Gynecology·James E KendrickJ Michael Straughn
Mar 22, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A O AwonugaN Khulpateea
Apr 4, 2006·Lancet·Khalid S KhanPaul Fa Van Look
Oct 10, 2006·Lancet·Oona M R CampbellUNKNOWN Lancet Maternal Survival Series steering group
Nov 2, 2006·Obstetrics and Gynecology·Gary A DildyMichael A Belfort
Oct 21, 2011·American Journal of Obstetrics and Gynecology·Bernd C SchmidHolger Maul
Dec 16, 2011·North American Journal of Medical Sciences·Lovina S M Machado
Jun 22, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Leonardo A Naranjo-GutiérrezMario I Ortiz
Jul 16, 2014·American Journal of Obstetrics and Gynecology·Laurence E ShieldsBarbara Pelletreau
Aug 12, 2014·The Lancet Global Health·Lale SayLeontine Alkema
May 9, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Omar TouhamiHayen El Magherbi
Jul 5, 2016·International Journal of Surgery·Dina M Filiberto, Adam D Fox

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

© 2022 Meta ULC. All rights reserved