Damage control to control a severe obstetrical haemorrhage

Michel, P.; Jarry, Julien; Guinaudeau, F.; Nguyen, Vi; Bourilhon, N.; Imperato, Marc

doi:10.1016/j.jviscsurg.2012.06.002

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Previous case reports of damage control techniques included use of packing with and without attempted internal iliac artery ligation or embolization. [5,9,10] Delivery with hemorrhage requiring an emergency hysterectomy was the most common occasion requiring Acute Care/Trauma surgical intervention. In our cases, packing and abbreviated laparotomy was utilized after peripartum hysterectomy or for pelvic packing around a preserved uterus.…”

Section: Discussionmentioning

confidence: 99%

Acute Care/Trauma Surgeon's role in obstetrical/gynecologic emergencies (The OBCAT Alert)

Lee

Carrillo

Rosenthal

et al. 2016

World Journal of Emergency Medicine

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BACKGROUND:Overwhelming hemorrhage or other intra-abdominal complications may be associated with obstetrical or gynecologic (OB/GYN) procedures and may require the surgical training of an Acute Care/Trauma Surgeon. The OB Critical Assessment Team (OBCAT Alert) was developed at our institution to facilitate a multidisciplinary response to complex OB/GYN cases. We sought to review and characterize the Acute Care/Trauma Surgeon's role in these cases. METHODS:We conducted a retrospective review of all emergency consults during an OB/GYN case at our institution from 2008 to 2015. An OBCAT is a hospital based alert system designed to immediately notify OB/GYN, anesthesiology, Acute Care/Trauma, the intensive care unit (ICU), and the blood bank of a potential emergency during an OB/GYN case.RESULTS: There were 7±3 OBCAT alerts/year. Seventeen patients required Acute Care/ Trauma surgery intervention for hemorrhage. Thirteen patients required damage control packing during their hospitalization. Blood loss averaged 6.8±5.5 L and patients received a total of 21±14 units during deliveries with hemorrhage. There were 17 other surgical interventions not related to hemorrhage; seven of these cases were related to adhesions or intestinal injury. Seven additional cases required evaluation post routine OB/GYN procedure; the most common reason was for severe wound complications. There were three deaths during this study period.CONCLUSION: Emergency OB/GYN cases are associated with high morbidity and may require damage control or other surgical techniques in cases of overwhelming hemorrhage. Acute Care/ Trauma Surgeons have a key role in the treatment of these complex cases.

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Section: Discussionmentioning

confidence: 99%

Acute Care/Trauma Surgeon's role in obstetrical/gynecologic emergencies (The OBCAT Alert)

Lee

Carrillo

Rosenthal

et al. 2016

World Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…C'est le principe de damage control [5] ou de laparotomie écourtée [7] qui a été appliqué chez notre malade, avec chez elle la nécessité d'une intervention complémentaire entre les deux interventions chirurgicales habituelles pour parfaire l'hémostase. Le blessé est ensuite rapidement admis en réanimation pour corriger l'hypothermie, l'acidose et maintenir les fonctions vitales.…”

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Prise en charge en urgence des occlusions coliques par cancer

Benizri

Rahili

Benchimol

2012

Journal de Chirurgie Viscérale

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Damage control to control a severe obstetrical haemorrhage

Cited by 2 publications

References 6 publications

Acute Care/Trauma Surgeon's role in obstetrical/gynecologic emergencies (The OBCAT Alert)

Acute Care/Trauma Surgeon's role in obstetrical/gynecologic emergencies (The OBCAT Alert)

Prise en charge en urgence des occlusions coliques par cancer

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