A novel %26quot;uterine sandwich%26apos; for haemorrhage at caesarean section for placenta praevia

作者:Matsubara Shigeki*; Kuwata Tomoyuki; Baba Yosuke; Usui Rie; Suzuki Hirotada; Takahashi Hironori; Ohkuchi Akihide; Suzuki Mitsuaki
来源:AUSTRALIAN %26 NEW ZEALAND JOURNAL OF OBSTETRICS %26 GYNAECOLOGY, 2014, 54(3): 283-286.
DOI:10.1111/ajo.12184

摘要

Although massive haemorrhage at caesarean section (CS) for placenta praevia is a serious concern, effective treatment is not yet determined. We performed a new uterine sandwich to achieve haemostasis at CS for total placenta praevia in five consecutive cases in whom the placenta reached up to %26gt;5cm from the internal cervical os in all directions of an uterine wall. A Matsubara-Yano (MY) uterine compression suture was placed, followed by placement of an intrauterine balloon. Haemostasis was achieved in all five cases with median blood loss of 1618mL. No short-term adverse events were observed. The MY sandwich can be used to achieve haemostasis at CS for placenta praevia.

  • 出版日期2014-6