Uterine Artery Ligation for Control of Postcesarean Section Hemorrhage

OʼLeary, James L.

doi:10.1097/00006254-197411000-00010

Cited by 67 publications

(72 citation statements)

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“…Complications such as broad-ligament haematoma, peripheral nerve ischaemia, and inadvertent ligation of the lower limb arteries have been reported. 36,37 Radiological embolisation of the uterine artery warrants facilities and expertise in interventional radiology, which may not be readily available in some obstetric units. In addition, in cases of massive ongoing PPH, it may be difficult to transfer patients to such radiological facilities.…”

Section: Discussionmentioning

confidence: 99%

Uterine compression sutures for management of severe postpartum haemorrhage: a 5-year audit

Chai

2013

Hong Kong Med J

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Objectives:To audit the use of compression sutures for the management of massive postpartum haemorrhage and compare outcomes to those documented in the literature.Design: Retrospective study. • In an unselected case series audit in a regional obstetric training unit, the efficacy of uterine compression sutures appeared to be lower than that reported in the literature. Implications for clinical practice or policy • Uterine compression sutures should be adopted as part of the management of severe postpartum haemorrhage in local obstetric units. Contingent treatment protocols for further interventions should be available if compression sutures fail.

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Section: Discussionmentioning

confidence: 99%

Uterine compression sutures for management of severe postpartum haemorrhage: a 5-year audit

Chai

2013

Hong Kong Med J

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“…The largest series was initially reported in 1966 [4], with further additions increasing the numbers to 90 by 1974 [5]. In these cases, bilateral uterine artery ligation was used successfully to treat severe haemorrhage at the time of caesarean section.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of dysfunctional uterine bleeding using laparoscopic bilateral uterine artery ligation

Pickersgill

2006

Gynecol Surg

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“…It may include the terminal part of the uterine branch, a second lower suture involving cervical branches or mass ligation of the uterine arteries and veins, including part of the myometrium (O'Leary's suture) [58].…”

Section: Artery Ligationmentioning

confidence: 99%

Massive Postpartum Hemorrhage: Protocol and Red Code

Masip¹,

Almeida-Toledano²,

Ferrero-Martínez³

et al. 2017

Obstetrics

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Postpartum hemorrhage (PPH) is the leading cause of maternal death. In developing countries, approximately 8% of maternal death is caused by PPH. Protocols should provide a standardized approach to evaluate and monitor the patients. A standard protocol must be recognized by the institution and must be accepted and known by all team members. Additionally, it is important to have a massive obstetric hemorrhage protocol (red code) for those patients with an important bleeding who require blood products available as soon as possible. In the red code activation protocol there are several key points to consider: the management algorithm must be known and accepted by all team members, a clear and effective communication between the team must be established and all the participants must know the role they play. Massive obstetric hemorrhage has a multidisciplinary implication: obstetricians, anesthesiologists, pediatricians, midwife, nurses, auxiliary staff, and laboratory blood bank staff. The active participation of the multidisciplinary team in simulations before the protocols implementation facilitates the evaluation of critical points and subsequent changes before their final application, the assessment of the adequacy of circuits and infrastructure, as well as a better protocols compliance.

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Uterine Artery Ligation for Control of Postcesarean Section Hemorrhage

Cited by 67 publications

References 0 publications

Uterine compression sutures for management of severe postpartum haemorrhage: a 5-year audit

Uterine compression sutures for management of severe postpartum haemorrhage: a 5-year audit

Successful treatment of dysfunctional uterine bleeding using laparoscopic bilateral uterine artery ligation

Massive Postpartum Hemorrhage: Protocol and Red Code

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