scholarly journals Condom tamponade in the management of atonic postpartum hemorrhage

2018 ◽  
Vol 7 (6) ◽  
pp. 2276 ◽  
Author(s):  
Ramya Santhanam ◽  
Radhamani Mavunkal Viswanathan ◽  
Priya V.
Keyword(s):  
Maternal Mortality ◽  
Postpartum Hemorrhage ◽  
Clinical Evidence ◽  
Surgical Intervention ◽  
Development Goal ◽  
Medical College ◽  
Life Saving ◽  
Time Required ◽  
Condom Catheter

Background: Postpartum hemorrhage (PPH) remains a leading direct cause of maternal death in both developed and developing countries. Millennium development goal of reducing maternal mortality rate cannot be achieved unless the prevention and treatment of PPH is prioritized. Objectives of the study were to study the efficacy of condom tamponade to arrest bleeding in cases of atonic PPH unresponsive to uterotonics.Methods: Prospective study conducted in the Kottayam Medical College where mothers who develop atonic PPH following childbirth unresponsive to uterotonics (after ruling out traumatic PPH) were included in study. Condom tamponade was applied in them and inflated with normal saline until the bleeding stops. Intrauterine drain was fitted with this to find out ongoing bleeding with tamponade in situ. The Condom tamponade was kept for 12-24 hrs and gradually deflated when bleeding ceased. Outcome measures were (1) Ability of condom catheter to stop bleeding; (2) Cases requiring further intervention; (3) Time required to stop bleeding and (4) Subsequent morbidity in terms of infection.Results: Of the 487 cases of atonic PPH, 61 required condom tamponade; bleeding controlled in 59 cases (96.7%); two patients (3.3%) needed further surgical intervention. No cases of maternal mortality due to PPH. No clinical evidence of intrauterine infection.Conclusions: The hydrostatic condom tamponade controls PPH quickly and effectively. It is simple, inexpensive, easily available, needs less expertise and life saving. Any healthcare provider may use this procedure as a timely measure to save the life of patients especially during referral to decrease ongoing loss.

scholarly journals Uterine tamponade using condom catheter balloon in the management of non-traumatic postpartum hemorrhage

2018 ◽  
Vol 7 (7) ◽  
pp. 2617
Author(s):  
Renu Jain
Keyword(s):  
Postpartum Hemorrhage ◽  
Therapeutic Option ◽  
Ease Of Use ◽  
Uterine Atony ◽  
Wound Sepsis ◽  
Low Resource ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Condom Catheter ◽  
Febrile Morbidity

Background: In low-resource countries, Postpartum Hemorrhage (PPH) is the leading cause of maternal mortality. The intrauterine balloon tamponade was recently incorporated into the strategy to manage uterine atony. There are many types of tamponades. Among them, the condom catheter seems to be an efficient and economic intervention for the treatment of PPH in low-resource countries. The aim of present study was to evaluate the effectiveness of the condom catheter balloon in treating postpartum hemorrhage refractory to medical treatment.Methods: The retrospective analysis of 22 cases of PPH, treated with a condom catheter as a conservative therapeutic option, was done in department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India.Results: The condom catheter was successful in controlling PPH in 90.9% cases. It was effective in 94.44% women with uterine atony, who did not respond to uterotonic drugs. It was also effective in one case of placental implantation site bleeding and two cases of deranged coagulation function. In 2 cases it failed to control PPH and peripartum hysterectomy was done. The volume of saline solution used to fill the balloon was from 150 -350 ml and the time for which the balloon remained inflated was 36-48 hours. No case of febrile morbidity and wound sepsis was noted. There was no maternal death.Conclusions: Its ease of use and high effectiveness make condom catheter a useful approach for the conservative management of PPH. This device reduces bleeding, shortens the hospital stay and avoids the need for more aggressive procedures.

scholarly journals A prospective randomized comparative study of Misoprostol and balloon tamponade using condom catheter to prevent postpartum hemorrhage at M. Y. H., Indore, India in vaginal delivered patients

2019 ◽  
Vol 8 (2) ◽  
pp. 591
Author(s):  
Sumitra Yadav ◽  
Anjali Malhotra
Keyword(s):  
Comparative Study ◽  
Postpartum Hemorrhage ◽  
Excessive Bleeding ◽  
Maternal Deaths ◽  
Balloon Tamponade ◽  
Third Stage ◽  
Developed World ◽  
And Child Health ◽  
Condom Catheter

Background: PPH is responsible for quarter of maternal deaths occurring worldwide and its incidence is increasing in developed world. According to Confidential Enquiries into Maternal and Child Health (CEMACH) report obstetric hemorrhage occurs in around3.7 per 1000 births. The objective of the study is that it was a prospective randomized comparative study of misoprostol and balloon tamponade via condom catheter to prevent postpartum hemorrhage in normal delivered patients at MYH.Methods: A sample size of 200 normal delivered patients between age group 18 and 45 years is chosen with excessive bleeding after third stage of labour and after administration of oxytocics. These 200 patients are divided into two groups: First group receiving Misoprostol and applying condom catheter in other group. Both groups are evaluated for PPH.Results: It was found that CG balloon condom catheter was a much better and more effective alternative in controlling PPH than Misoprostol as the failure rate with CG balloon condom catheter were  much less than that  with misoprostol. Due to its cost effectiveness and being easily available at primary health center and due to absence of any drug reactions and easy technique of formation makes it a better modality in controlling PPH even at PHC.Conclusions: Patients with condom catheter in situ must show better result than patients receiving misoprostol.

scholarly journals Role of intrauterine balloon tamponade in controlling massive primary post partum haemorrage

2018 ◽  
Vol 29 (1) ◽  
pp. 52-54
Author(s):  
Nahar N ◽  
Rahman Z ◽  
Chaudhury S ◽  
Yusuf N ◽  
Ashraf F
Keyword(s):  
Disseminated Intravascular Coagulation ◽  
Postpartum Haemorrhage ◽  
Surgical Intervention ◽  
Post Partum ◽  
Common Cause ◽  
Balloon Tamponade ◽  
Rubber Catheter ◽  
Condom Catheter

Postpartum haemorrhage (PPH) Remains a significant complication of child birth worldwide. The most common cause of PPH is uterine atony. Recently, uterine tamponade using intrauterine condom appearsto be an effective tools in the management of uncontrolled primary PPH. Objectives of our studywas to see the effectiveness of large volume fluid filled condom catheter in the management of primary PPH. Methods: a condom was inserted in the uterus by means of a size 16 rubber catheter and inflated with 250 to 300ml normal saline until the bleeding was controlled. The condom was kept in situ for 24 to 48 hours. Results: Out of 53 cases, PPH was controlled in 52 cases. One patient died as the patient was eclamptic & develped disseminated intravascular coagulation (DIC). No patient required surgical intervention. Conclusion: fluid filled intrauterine condom is an effective method in the management of primary PPH when usual measures & drugs fail to control PPH.TAJ 2016; 29(1): 52-54

scholarly journals USE OF THE CONDOM CATHETER TO CONTROL THE MASSIVE POSTPARTUM HEMORRHAGE

2019 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr. Manju Agarwal ◽  
Dr. Rakhee Soni
Keyword(s):  
Blood Loss ◽  
Prospective Study ◽  
Normal Saline ◽  
Postpartum Hemorrhage ◽  
Obstetrics And Gynecology ◽  
Medical College ◽  
Effective Manner ◽  
Short Time ◽  
Condom Catheter ◽  
Initial Intensity

Background: To evaluate the efficacy of a condom as a tamponade for intrauterine pressure to stop massive postpartum hemorrhage (PPH) Methods: This prospective study was done in the Obstetrics and Gynecology Department of Jhalawar Medical College and Hospital, Jhalawar, between June 2017 and October 2017. In this study period, total 30 cases of PPH were identified; 20 were managed medically,2 were managed using the B-Lynch procedure, and 7 were managed using the condom catheter,1 underwent hysterectomy. The condom catheter was used when PPH that occurred as a result of atonicity could not be controlled by uterotonics. Under aseptic precautions, a sterile foley ‘s catheter fitted with a condom was introduced into the uterus. The condom was inflated with approximately 250-500 mL normal saline and kept for 24-48 hours, depending upon the initial intensity of blood loss, and gradually deflated when bleeding stopped. Results: In all 7 cases in which the condom catheter was used, bleeding stopped within 15-20 minutes. No further intervention needed. Conclusion: The hydrostatic condom catheter can control PPH in a very short time and effective manner. It is simple to use, cheap, and safe. Keywords: PPH, Condom Catheter

scholarly journals Mid Trimester Missed Abortion Termination Using Intravaginal Misoprostol - A Prospective Study In DMCH

2013 ◽  
Vol 25 (2) ◽  
pp. 65-70
Author(s):  
Sharmeen Mahmood ◽  
Sadia Afrin ◽  
Farhana Dewan
Keyword(s):  
Prospective Study ◽  
Side Effect ◽  
Surgical Intervention ◽  
Efficacy And Safety ◽  
Common Complication ◽  
Missed Abortion ◽  
Medical College ◽  
Surgical Evacuation ◽  
Time Required ◽  
A Prospective Study

Objectives: The objective of the study was to find out the efficacy and safety of misoprostol in termination of missed abortion.Materials and Methods: This was a prospective study carried out during the time from August 2009 to April2010 in Dhaka Medical College Hospital.Results: A total 50 cases of missed abortion (12-28weeks) were included in the study. Tab.misoprostol(2oo?gm) was used pervaginally 4hourly for termination of pregnancy. Maximum 4tab.were used. Outcome variables were doses of misoprostol, expulsion times need for use of oxytocin and D and C and side effect of misoprostol. In the present study, 58% percent (29 out of 50 ) experienced complete expulsion (20% after 1st dose, 24% after 2nd dose 24% after 3rd dose and, 31% after 4th dose).24% cases needed oxytocin drip as an adjunct and 18% needed surgical evacuation when 4 doses of misoprostol (tab cytomis)and oxytocin fail to expel the product of conception. Mean (±SD) time required for expulsion of product of conception was 11.44 ± 4.43 hours in 29 (58%) women who were given tab misoprostol only. The results showed that 5(out of 25) has a complete expulsion after first dose, 13 after second 4 after 3rd  and Mean induction expulsion time was 6.1 hours The most common complication was temperature 6%, vomiting 4%, and diarrhoea 2%.Conclusion: Vaginal application of misoprostol can be used to women with missed abortion   for complete expulsion of the product of conception and may reduce the need for surgical   intervention. DOI: http://dx.doi.org/10.3329/bjog.v25i2.13742 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(2) : 65-70  

scholarly journals A descriptive Study on Uterine Compression U-sutures to Control Postpartum Hemorrhage with fertility Preservation: A Simple and Effective Technique

2018 ◽  
Vol 26 ◽  
pp. 67-73
Author(s):  
Mst Rokeya Khatun ◽  
Jesmin Shahela
Keyword(s):  
Postpartum Hemorrhage ◽  
Effective Technique ◽  
College Hospital ◽  
Medical College ◽  
Life Saving ◽  
Estimated Blood Loss ◽  
Suturing Technique ◽  
Gestational Age At Delivery ◽  
The Mean

Objective: This study evaluated the effectiveness of a modified U-suturing technique in effecting uterine compression in patients with atonic primary postpartum hemorrhage (PPPH), which does not respond to manual compression or drugs.Method: We retrospectively reviewed the charts of all patients who delivered between 2013 and 2015 at Gynae & Obstetrics Department of Rajshahi Medical College Hospital and who underwent uterine compression sutures for PPPH and results of a follow-up and questionnaire were evaluated and our experience with this method was reviewed.Results: Fifty two women had uterine compression U sutures for P PPH. The mean age of the patients was 24±2.2 years. The mean gestational age at delivery was 38.2±2.3 weeks, and the average estimated blood loss was 2.3±2.1 L. The mean procedure time to perform the uterine compression U sutures was 11.5±2.8 minutes. None of the 52 patients required hysterectomy.Conclusion: Uterine compression U-sutures technique is an easily and rapidly applied, effective, simple, safe & life saving method for the treatment of PPPH, thus avoiding hyterectomy and preserving potential fertility.TAJ 2013; 26: 67-73

TO SEPARATELY ASSESS THE DIAGNOSTIC POTENTIAL OF TVS & MRI IN THE TERMS OF SENSITIVITY AND SPECIFICITY BY CORRELATING THE IMAGING FINDINGS WITH HISTOPATHOLOGY

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Suraj Mathur
Keyword(s):  
Transvaginal Ultrasound ◽  
High Sensitivity ◽  
Imaging Evaluation ◽  
Medical College ◽  
Conventional Mri ◽  
Diagnostic Potential ◽  
Adc Mapping ◽  
Malignant Lesions ◽  
Sensitivity Specificity

This prospective study was done in the Department of Radio diagnosis Govt. Medical College, Kozhikode. A total of 65 patients who were referred to our department with clinical suspicion of endometrial lesions and incidentally detected endometrial lesions on ultrasonography underwent transvaginal ultrasound and subsequent Imaging evaluation of pelvis MRI has very high sensitivity (95%) and specificity (98%) and is almost as accurate (97%) as histopathology in differentiating benign from malignant lesions. Addition of DWI with ADC mapping to conventional MRI increases its accuracy even more. However there is inherent limitation to MRI in detecting carcinoma in situ and micrometastasis. Keywords: TVS, MRI, Sensitivity, Specificity, Histopathology.

Outcome of Percutaneous Nephrostomy in Children With Ureteropelvic Junction Obstruction

2020 ◽  
Vol 20 (2) ◽  
pp. 61-64
Author(s):  
Mohammad Mahfuzur Rahman Chowdhury ◽  
Rifat Zaman ◽  
Md Amanur Rasul ◽  
Akm Shahadat Hossain ◽  
Shafiqul Alam Chowdhury ◽  
...  
Keyword(s):  
Renal Function ◽  
Low Dose ◽  
Ureteropelvic Junction Obstruction ◽  
Percutaneous Nephrostomy ◽  
Ureteropelvic Junction ◽  
College Hospital ◽  
Medical College ◽  
Split Renal Function

Introduction and objectives: Congenital ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis. Management protocols are based on the presence of symptoms and when the patient is asymptomatic the function of the affected kidney determines the line of treatment. Percutaneous nephrostomy (PCN) became a widely accepted procedure in children in the 1990s. The aim of the study was to evaluate the results of performing percutaneous nephrostomy (PCN) in all patients with UPJO and split renal function (SRF) of less than 10% in the affected kidney, because the management of such cases is still under debate. Methods:This prospective clinical trial was carried out at Dhaka Medical College Hospital from January 2014 to December 2016. Eighteen consecutive patients who underwent PCN for the treatment of unilateral UPJO were evaluated prospectively. In these children, ultrasonography was used for puncture and catheter insertion. Local anesthesia with sedation or general anesthesia was used for puncture. Pig tail catheters were employed. The PCN remained in situ for at least 4 weeks, during which patients received low-dose cephalosporin prophylaxis. Repeat renography was done after 4 weeks. When there was no significant improvement in split renal function (10% or greater) and PCN drainage (greater than 200 ml per day) then nephrectomies were performed otherwise pyeloplasties were performed. The patients were followed up after pyeloplasty with renograms at 3 months and 6 months post operatively. Results: All the patients had severe hydronephrosis during diagnosis and 14 patients with unilateral UPJO were improved after PCN drainage and underwent pyeloplasty. The rest four patients that did not show improvement in the SRF and total volume of urine output underwent nephrectomy. In the patients with unilateral UPJO who improved after PCN drainage, the SRF was increased to 26.4% ±8.6% (mean± SD) after four weeks and pyeloplasty was performed. At three and six months follow-up, SRF value was 29.2% ±8.5% and 30.8.2% ±8.8% respectively. Conclusion: Before planning of nephrectomy in poorly functioning kidneys (SRF < 10%) due to congenital UPJO, PCN drainage should be done to asses improvement of renal function. Bangladesh Journal of Urology, Vol. 20, No. 2, July 2017 p.61-64

Thirty Year Old Female Presented with Nipple Destruction: A Case Report

2019 ◽  
Vol 11 (1) ◽  
pp. 81-83
Author(s):  
Md Mustafizur Rahman ◽  
Nadim Ahmed ◽  
Sami Ahmad ◽  
Shoaeb Imtiaz Alam ◽  
Mohammad Rashedul Hassan ◽  
...  
Keyword(s):  
Invasive Carcinoma ◽  
Paget’S Disease ◽  
Radical Mastectomy ◽  
Paget's Disease ◽  
College Hospital ◽  
Rare Type ◽  
Medical College ◽  
Ductal Cell ◽  
Areola Complex

Paget’s disease of the breast is a rare type of cancer of the nipple–areola complex and that is often associated with an underlying in situ or invasive carcinoma. It is often misdiagnosed as eczema of breast and treatment is delayed. Here we present a case where a 30 year old female presented with itching ulceration and destruction of her left nipple. She was treated initially by local physicians by applying local ointments but as her condition did not improve she was admitted to department of surgery Shaheed Suhrawardy Medical College hospital where she was diagnosed as Paget’s disease with infiltrating ductal cell carcinoma. She underwent modified radical mastectomy with axillary clearance and referred to oncology department for further management. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 81-83

TO EVALUATE THE EFFECTIVENESS OF CONDOM BALLOON CATHETER IN TREATING INTRACTABLE POSTPARTUM HEMORRHAGE AT KONTUM PROVINCIAL HOSPITAL

2018 ◽  
Vol 8 (6) ◽  
pp. 178-183
Author(s):  
Dinh Nguyen Gia ◽  
Thanh Cao Ngoc
Keyword(s):  
Maternal Death ◽  
Postpartum Hemorrhage ◽  
Medical Management ◽  
Balloon Catheter ◽  
Uterine Atony ◽  
Cross Sectional ◽  
Common Cause ◽  
Provincial Hospital ◽  
Balloon Tamponade ◽  
Condom Catheter

Background: Postpartum hemorrhage (PPH) remains a significant contributor to maternal morbility and mortality and accounts for 31% of maternal death in Vietnam. The most common cause of PPH is uterine atony. Recently, uterine tamponade using intrauterine condom appears to be an effective tool in the management of intractable PPH. Objectives: To evaluate the success of condom as a tamponade to arrest intractable PPH due to uterine atony in patients not responding to medical management. Materials and Methods: The study was designed as a cross-sectional and descriptive, included 32 patients who underwent condom balloon tamponade at Kontum Provincial Hospital from 1/2012 to 8/2016. Results: 32 women (mean age 25.71 ± 6.45 years range, 16 - 39) underwent condom balloon tamponade for PPH controls. 29 patients (90.62%) successfully responded the tamponade therapy by the use of condom catheter. Three patients (9.37%) required hysterectomy. Conclusions: Condom catheter balloon effectively controls the intractable PPH due to uterine atony. Key words: PPH (Pospartum hemorrhage), Tamponade, Condom catheter balloon, Uterine atony

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