Buttock necrosis after hypogastric artery embolization for postpartum hemorrhage

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Robin Julve ◽  
Eva Meler ◽  
Elena Murillo ◽  
Bernat Serra
Keyword(s):  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Twin Pregnancy ◽  
Rare Complication ◽  
Skin Grafting ◽  
Hypogastric Artery ◽  
Vacuum Assisted Closure ◽  
Artery Embolization ◽  
Vacuum Assisted Closure Therapy

AbstractUterine or hypogastric artery embolization is a useful alternative to hysterectomy in the treatment of postpartum hemorrhage.Puerpera requiring a bilateral hypogastric artery embolization for postpartum hemorrhage after cesarean section in a term twin pregnancy. Unexpected unilateral buttock necrosis appeared 5 days later. Treatment consisted of debridement, the use of vacuum-assisted closure therapy and skin grafting.Buttock necrosis is a rare complication after hypogastric artery embolization in the treatment of postpartum hemorrhage.

scholarly journals Study on the application of King’s combined uterine suture for hemostasis during cesarean section

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Li Xia ◽  
Jinxiao Lin ◽  
Yan Dai ◽  
Xinrui Wang
Keyword(s):  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Twin Pregnancy ◽  
Placenta Previa ◽  
Breech Presentation ◽  
Lower Uterine Segment ◽  
Efficacy And Safety ◽  
Reduce Blood Loss ◽  
Normal Shape ◽  
Central Placenta Previa

Abstract Introduction Postpartum hemorrhage is a serious complication of childbirth and is still the leading cause of maternal death worldwide. Lower uterine segment hemorrhage during cesarean section is an important cause of postpartum hemorrhage. Our objective is to expore the efficacy and safety of King’s combined uterine suture for hemostasis during cesarean section. Methods We examined 48 cases: 16 cases of pernicious placenta previa (including one case of twins), 11 cases of central placenta previa (including one case of twins), 18 cases of uterine scarring (including two cases of twins), as well as one case of twin pregnancy, two cases of breech presentation, and one case of pulmonary hypertension. The “King’s combined uterine suture” method for hemostasis was used in patients with lower uterine segment hemorrhage during cesarean section. Results The results showed that all patients had successful hemostasis during surgery, and there were no cases of hysterectomy. Conclusion We have concluded that King’s combined uterine suture is a fast and safe hemostasis method for cesarean section that can effectively reduce blood loss and restore the normal shape of the lower uterine segment. Furthermore, this suture method can reduce postpartum hemorrhage and hysterectomy rate, as well as improve maternal prognosis.

scholarly journals Assessment the role of tranexamic acid in prevention of postpartum hemorrhage

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Nevein Gerges Fahmy ◽  
Fahmy Saad Latif Eskandar ◽  
Walid Albasuony Mohammed Ahmed Khalil ◽  
Mohammed Ibrahim Ibrahim Sobhy ◽  
Amin Mohammed Al Ansary Amin
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Tranexamic Acid ◽  
Postpartum Hemorrhage ◽  
Postoperative Bleeding ◽  
Control Group ◽  
Study Group ◽  
Mortality And Morbidity ◽  
Lower Segment Cesarean Section ◽  
Prophylactic Use

Abstract Background Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality and morbidity worldwide. It is believed that hemostatic imbalance secondary to release of tissue plasminogen activator (tPA) and subsequent hyperfibrinolysis plays a major role in PPH pathogenesis. Antifibrinolytic drugs such as tranexamic acid (TXA) are widely used in hemorrhagic conditions associated with hyperfibrinolysis. TXA reduced maternal death due to PPH and its use as a part of PPH treatment is recommended, and in recent years, a number of trials have investigated the efficacy of prophylactic use of TXA in reducing the incidence and the severity of PPH. The study is aiming to assess the efficacy of tranexamic acid in reducing blood loss throughout and after the lower segment cesarean section and reducing the risk of postpartum hemorrhage. Results The amount of blood loss was significantly lower in the study group than the control group (416.12±89.95 and 688.68±134.77 respectively). Also the 24-h postoperative hemoglobin was significantly higher in the study group (11.66±0.79 mg/dl) compared to the control group (10.53±1.07mg/dl), and the 24-h postoperative hematocrit value was significantly higher in the study group (34.99±2.40) compared to control (31.62±3.22). Conclusion Prophylactic administration of tranexamic acid reduces intraoperative and postoperative bleeding in cesarean section and the incidence of postpartum hemorrhage.

scholarly journals Selective Uterine Artery Embolization in Postpartum Hemorrhage; Updates on 5 Years' Single-Center Experience

2020 ◽  
Author(s):  
Nadine Mohamed ◽  
Rana Tarek Khafagy ◽  
Hend Gamal Abd Elgalil ◽  
Mark Michael ◽  
Karim Ahmed Abd El Tawab
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Single Center ◽  
Artery Embolization ◽  
Single Center Experience
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