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

Diemert, Anke; Ortmeyer, G; Hollwitz, Bettina; Lotz, M.; Somville, T.; Glosemeyer, P.; Diehl, W.; Hecher, Kurt

doi:10.1016/j.ajog.2011.07.041

Cited by 60 publications

(51 citation statements)

References 19 publications

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“…The Bakri balloon was associated with a significant reduction of blood loss, operation duration and hospital stay. To our knowledge, this study contains the largest series of patients treated [23][24][25][26][27][28] Although constructing randomized studies in PPH is ethically impossible because of the low frequency of patients with PP having severe PPH and the case fatality of the condition, we succeeded in overcoming these obstacles by collecting cases from two centers, each with its own management protocol; thus, avoiding any bias or the withholding of any beneficial treatment that could affect patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

Comparison between two management protocols for postpartum hemorrhage during cesarean section in placenta previa: Balloon protocol versus non‐balloon protocol

Maher

Abdelaziz

2016

J of Obstet and Gynaecol

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Section: Discussionmentioning

confidence: 99%

Comparison between two management protocols for postpartum hemorrhage during cesarean section in placenta previa: Balloon protocol versus non‐balloon protocol

Maher

Abdelaziz

2016

J of Obstet and Gynaecol

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“…We used Bakri balloons in combination with B-Lynch sutures as a second step in three cases. Diemert et al ,34 reported the largest series in which PPH was treated with Bakri balloons in combination with B-Lynch sutures. None of our patients receiving this treatment required a hysterectomy; thus, combination treatment with Bakri balloons was successful in our series.…”

Section: Discussionmentioning

confidence: 99%

Management of intractable postpartum haemorrhage in a tertiary center: A 5-year experience

et al. 2012

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Background:The purpose of this study is to describe treatment alternatives to prevent postpartum hysterectomy after failure of conventional therapies. Prevention of hysterectomy was the main outcome studied.Materials and Methods:This is a retrospective study of 19 patients diagnosed to have intractable postpartum hemorrhage and not managed with medical treatment who were subsequently treated with operative interventions in our unit between January 2004 and January 2009. The cases were identified by review of medical records.Results:In the period under review, a total of 17,341 deliveries were conducted, out of which 19 women were managed for intractable PPH. The incidence of severe PPH unresponsive to standard medical treatment was 0.1%. The mean maternal age was 33.5±3.4 years (range 27–39 years). The mean gestational age was 38.3±1.3 weeks (range 37–41 weeks). Organ preserving surgery methods were utilized in all the patients with a success rate 78.9%. The mean duration of surgery was 95 minutes (range 50–130 minutes) and the mean hospital stay was for 5 days. The mean transfused blood volume was 2.4 units as packed red cells. Among these 19 cases, 4 cases were resorted to hysterectomy.Conclusions:In the presence of uncontrolled hemorrhage, this simple procedure should be tried before other complex treatment alternatives are undertaken. Our case series suggests that the combination of uterine artery ligation with B-Lynch sutures might be the best surgical approach because it preserves future fertility better than other methods and avoids high operative risks and morbidity.

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“…In the recent years, the use of a Bakri balloon and B-Lynch sutures has gained popularity. A combination of these two methods has shown to be successful in achieving haemostasis of haemorrhage during caesarean sections 2. In our case, we used the combination of a Bakri balloon, a B-Lynch suture and a Penrose drain around the cervix.…”

Section: Discussionmentioning

confidence: 99%

Cervical tourniquet in case of uncontrollable haemorrhage during caesarean section owing to a placenta accreta

Huijgen¹,

Gijsen²,

Hink³

et al. 2013

BMJ Case Reports

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SUMMARYThis case report describes a 38-year-old woman in whom a primary caesarean section for placenta previa was complicated by postpartum haemorrhage due to a placenta accreta. Despite tamponade with a Bakri balloon and placement of a B-Lynch suture, the amount of blood loss could not be effectively reduced. The blood loss was eventually minimised by the placement of a Penrose drain around the cervix as a cervical tourniquet. We think that a cervical tourniquet is an effective method of stopping haemorrhage during caesarean section, as shown in this case report, and we consider this technique to be a valuable addition to several existing methods through which fertility is preserved by preventing emergency hysterectomy. BACKGROUND

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

Cited by 60 publications

References 19 publications

Comparison between two management protocols for postpartum hemorrhage during cesarean section in placenta previa: Balloon protocol versus non‐balloon protocol

Comparison between two management protocols for postpartum hemorrhage during cesarean section in placenta previa: Balloon protocol versus non‐balloon protocol

Management of intractable postpartum haemorrhage in a tertiary center: A 5-year experience

Cervical tourniquet in case of uncontrollable haemorrhage during caesarean section owing to a placenta accreta

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