Limits...
Double-balloon tamponade in the management of postpartum hemorrhage: a case series.

Kavak SB, Kavak EÇ, Demirel I, Ilhan R - Ther Clin Risk Manag (2014)

Bottom Line: Length of hospitalization was longer in the vaginal delivery patients (average hospitalization was 12 days in the vaginal delivery patients and 5 days in the Cesarean section patients).The need for blood and blood products transfusion (average of blood and blood products transfusion was 30 U in the vaginal delivery patients and 6 U in the Cesarean patients) was also higher in the vaginal delivery patients.This procedure can save patients from undergoing more morbid procedures.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, School of Medicine, Firat Medical Center, Firat University, Elazig, Turkey.

ABSTRACT

Unlabelled: To show the efficacy of double-balloon cervical ripening catheter in the management of postpartum hemorrhage originating from the lower segment of the uterus or the upper parts of the vagina.

Methods: Patients with intractable bleeding from the lower segment of the uterus and the upper parts of the vagina after Cesarean or vaginal deliveries were treated by double-balloon cervical ripening catheter.

Results: Double-balloon catheter was used in seven patients, and it was properly placed in all of them. No other intervention was needed to control bleeding. Two patients were delivered vaginally, and five patients were delivered by Cesarean section. Length of hospitalization was longer in the vaginal delivery patients (average hospitalization was 12 days in the vaginal delivery patients and 5 days in the Cesarean section patients). The need for blood and blood products transfusion (average of blood and blood products transfusion was 30 U in the vaginal delivery patients and 6 U in the Cesarean patients) was also higher in the vaginal delivery patients.

Conclusion: Although double-balloon cervical ripening catheter is designed for the induction of labor, it can successfully control intractable bleedings from the lower segment of the uterus and the upper parts of the vagina. This procedure can save patients from undergoing more morbid procedures.

No MeSH data available.


Related in: MedlinePlus

MRI image of cervical ripening catheter in Cesarean section patient.Notes: Inflated cervical ripening balloon involving cervix and proximal vagina. Sagittal T2-weighted MRI demonstrates inflated cervical ripening balloon transversing internal cervical os (thin arrow). Proximal portion of inflated balloon (arrowhead) is localized in the cervix. Distal portion of the balloon (thick arrow) is localized in vagina.Abbreviation: MRI, magnetic resonance imaging.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4128843&req=5

f2-tcrm-10-615: MRI image of cervical ripening catheter in Cesarean section patient.Notes: Inflated cervical ripening balloon involving cervix and proximal vagina. Sagittal T2-weighted MRI demonstrates inflated cervical ripening balloon transversing internal cervical os (thin arrow). Proximal portion of inflated balloon (arrowhead) is localized in the cervix. Distal portion of the balloon (thick arrow) is localized in vagina.Abbreviation: MRI, magnetic resonance imaging.

Mentions: Ring forceps were used to insert the catheter under direct examination of the cervix. The uterine portion of the balloon was inflated with an 80–110 mL saline solution. Then, a gentle traction was applied to fit the balloon firmly to the cervical portion of the uterus. The vaginal portion was then inflated with another 80 mL (Figure 2). The position of the balloons was reevaluated by ultrasonography. In the Cesarean section, the catheter was also inserted vaginally and, after the repair of the uterine incision by using polyglactic acid No 1-0 (Laktasorb, Boz, Istanbul, Turkey), it was inflated by an assistant vaginally in the same manner. All of the catheters were placed successfully, and in all of the patients, the balloon tamponate worked well.


Double-balloon tamponade in the management of postpartum hemorrhage: a case series.

Kavak SB, Kavak EÇ, Demirel I, Ilhan R - Ther Clin Risk Manag (2014)

MRI image of cervical ripening catheter in Cesarean section patient.Notes: Inflated cervical ripening balloon involving cervix and proximal vagina. Sagittal T2-weighted MRI demonstrates inflated cervical ripening balloon transversing internal cervical os (thin arrow). Proximal portion of inflated balloon (arrowhead) is localized in the cervix. Distal portion of the balloon (thick arrow) is localized in vagina.Abbreviation: MRI, magnetic resonance imaging.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4128843&req=5

f2-tcrm-10-615: MRI image of cervical ripening catheter in Cesarean section patient.Notes: Inflated cervical ripening balloon involving cervix and proximal vagina. Sagittal T2-weighted MRI demonstrates inflated cervical ripening balloon transversing internal cervical os (thin arrow). Proximal portion of inflated balloon (arrowhead) is localized in the cervix. Distal portion of the balloon (thick arrow) is localized in vagina.Abbreviation: MRI, magnetic resonance imaging.
Mentions: Ring forceps were used to insert the catheter under direct examination of the cervix. The uterine portion of the balloon was inflated with an 80–110 mL saline solution. Then, a gentle traction was applied to fit the balloon firmly to the cervical portion of the uterus. The vaginal portion was then inflated with another 80 mL (Figure 2). The position of the balloons was reevaluated by ultrasonography. In the Cesarean section, the catheter was also inserted vaginally and, after the repair of the uterine incision by using polyglactic acid No 1-0 (Laktasorb, Boz, Istanbul, Turkey), it was inflated by an assistant vaginally in the same manner. All of the catheters were placed successfully, and in all of the patients, the balloon tamponate worked well.

Bottom Line: Length of hospitalization was longer in the vaginal delivery patients (average hospitalization was 12 days in the vaginal delivery patients and 5 days in the Cesarean section patients).The need for blood and blood products transfusion (average of blood and blood products transfusion was 30 U in the vaginal delivery patients and 6 U in the Cesarean patients) was also higher in the vaginal delivery patients.This procedure can save patients from undergoing more morbid procedures.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, School of Medicine, Firat Medical Center, Firat University, Elazig, Turkey.

ABSTRACT

Unlabelled: To show the efficacy of double-balloon cervical ripening catheter in the management of postpartum hemorrhage originating from the lower segment of the uterus or the upper parts of the vagina.

Methods: Patients with intractable bleeding from the lower segment of the uterus and the upper parts of the vagina after Cesarean or vaginal deliveries were treated by double-balloon cervical ripening catheter.

Results: Double-balloon catheter was used in seven patients, and it was properly placed in all of them. No other intervention was needed to control bleeding. Two patients were delivered vaginally, and five patients were delivered by Cesarean section. Length of hospitalization was longer in the vaginal delivery patients (average hospitalization was 12 days in the vaginal delivery patients and 5 days in the Cesarean section patients). The need for blood and blood products transfusion (average of blood and blood products transfusion was 30 U in the vaginal delivery patients and 6 U in the Cesarean patients) was also higher in the vaginal delivery patients.

Conclusion: Although double-balloon cervical ripening catheter is designed for the induction of labor, it can successfully control intractable bleedings from the lower segment of the uterus and the upper parts of the vagina. This procedure can save patients from undergoing more morbid procedures.

No MeSH data available.


Related in: MedlinePlus