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

Authors :: Diemert A
Ortmeyer G
Hollwitz B
Lotz M
Somville T
Glosemeyer P
Diehl W
Hecher K
Source :: American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2012 Jan; Vol. 206 (1), pp. 65.e1-4. Date of Electronic Publication: 2011 Jul 30.
Publication Year :: 2012
Abstract: Objective: To evaluate intrauterine balloon tamponade with or without B-Lynch sutures in avoiding postpartum hysterectomy in cases with severe postpartum hemorrhage.<br />Study Design: Retrospective analysis using all women delivering between January 2005 and July 2010 in our center. Prevention of hysterectomy was the main outcome studied.<br />Results: Twenty-four cases of severe postpartum hemorrhage occurred in which medical treatment alone failed. In 20 cases, the Bakri balloon was the first choice to stop hemorrhage. Sixty percent (n = 12) of these were successfully treated with the balloon alone, 30% (n = 6) with the balloon and the B-Lynch suture. Therefore, 90% (n = 18) were successfully treated with the balloon as part of the treatment. The balloon tamponade was not successful in 2 cases. Four cases were treated with emergency hysterectomy a priori.<br />Conclusion: The Bakri balloon with or without B-Lynch sutures in a stepwise approach is an effective option for the treatment of severe PPH.<br /> (Copyright © 2012. Published by Mosby, Inc.)

Subjects :: Adult
Blood Loss, Surgical statistics & numerical data
Emergency Treatment
Female
Humans
Hysterectomy
Postpartum Hemorrhage surgery
Pregnancy
Pregnancy Complications surgery
Pregnancy Complications therapy
Severity of Illness Index
Sutures
Treatment Outcome
Young Adult
Postpartum Hemorrhage therapy
Suture Techniques
Uterine Balloon Tamponade

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