scholarly journals Condom catheter: a simple and efficacious alternative of hysterectomy in postpartum haemorrhage

2019 ◽  
Vol 8 (6) ◽  
pp. 2493
Author(s):  
Neeta Natu ◽  
Vandna Singh
Keyword(s):  
Prospective Study ◽  
Hospital Stay ◽  
Vaginal Delivery ◽  
Surgical Management ◽  
Conservative Management ◽  
Postpartum Hemorrhage ◽  
Postpartum Haemorrhage ◽  
Ease Of Use ◽  
High Effectiveness ◽  
Condom Catheter

Background: The aim of this study was to evaluate the effectiveness of the condom catheter in treating postpartum hemorrhage refractory to medical treatment.Methods: This prospective study included 21 women with postpartum hemorrhage treated with a condom catheter as a conservative therapeutic option.Results: The condom catheter was successful in controlling hemorrhage in 90.4% of the women. It was effective in all women with vaginal delivery (11 of 12) and highly effective in women with uterine atony who did not respond to medical uterotonic treatment (6 of 7 women).Conclusions: Its ease of use and high effectiveness make the condom catheter a useful approach for the conservative management of acute postpartum hemorrhage. This device reduces bleeding, shortens the hospital stay and avoids the need for surgical management.

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 Surgical management of remaining cavity after open cystectomy for hepatic hydatidosis relative study of different methods

2018 ◽  
Vol 5 (8) ◽  
pp. 2717
Author(s):  
Talib A. Humood ◽  
Fouad J. Al Hilali
Keyword(s):  
Prospective Study ◽  
Hospital Stay ◽  
Surgical Management ◽  
Hydatid Disease ◽  
Teaching Hospital ◽  
Purulent Discharge ◽  
Management Technique ◽  
Complication Rates ◽  
Simple Cyst ◽  
Residual Cavity

Background: Handling the residual cavity of liver hydatid cyst after surgical management, is one of the most common surgical arguments in the managing of the liver hydatid disease. The aim of this prospective study was to report our experience at Al-Nu' man Teaching Hospital, Baghdad, Iraq. To achieves a comparative study with other techniques to illuminate the appropriate acquire practice of treating the residual cavity of the hydatid disease.Methods: A prospective study that achieved on 60 patients who have liver hydatid disease. The patients were treated in Al-Nu' man Teaching Hospital, Baghdad, Iraq between March 2010 and April 2016. The residual hepatic cavity after open cystectomy was managed by one surgical method; Simple Cyst Closure, Unroofing (Partial Cysto-Pericystectomy), Omentoplasty, Capitonnage, or Drainage in order to compare and highlight the postoperative complications.Results: There were five groups according to the type of operative techniques and postoperative complication. Group I (Simple Cyst Closure). Group II (Unroofing). Group III (Omentoplasty). Group. IV (Capitonnage). Group V (Drainage). Simple cyst closure had minimum postoperative stay. Omentoplasty or Capitonnage were less postoperative stay and tiniest post-operative days of biliary or purulent discharge. Drainage group has the highest percentage of bile leakage and purulent discharge plus prolonged hospitalization.Conclusions: Uncomplicated cysts have lower complication rates and short hospital stay with each cavity management technique. Complicated cysts have higher complication rates and longer hospital stay regardless of the management technique.

scholarly journals A study of uterine balloon tamponade for the management postpartum haemorrhage using Bakri balloon

2021 ◽  
Vol 10 (9) ◽  
pp. 3347
Author(s):  
Shashikala B. Patil ◽  
Indumathi H. K. ◽  
Sarojini . ◽  
Savitha C.
Keyword(s):  
Vaginal Delivery ◽  
Surgical Management ◽  
Postpartum Haemorrhage ◽  
Research Centre ◽  
Common Cause ◽  
Medical College ◽  
Balloon Tamponade ◽  
Maternal Morbidity And Mortality ◽  
Uterine Balloon Tamponade ◽  
Bakri Balloon

Background: PPH is the most common cause of maternal morbidity and mortality around the world. Incidence of PPH is 2-4% following vaginal delivery and 6% following cesarean delivery in India. Uterine atony is the most common cause of PPH. Treatment of PPH involves medical treatment and surgical management. In between medical and surgical management of PPH comes uterine balloon tamponade which is simple, less invasive and can be managed with minimal training.Methods: A retrospective cohort study was done for 2 years at Vanivilas hospital, Bangalore medical college and research centre, Bangalore, Karnataka. Cases of atonic PPH managed using Bakri balloon were included in the study. The objective of the study was to study the effectiveness of uterine balloon tamponade using Bakri balloon in the management of atonic PPH and to study the maternal outcome.Results: In this study total of 50 cases were included. Women were in the age group of 18 to 33years. Regarding obstetric history, 22 (44%) were primigravida and 28 (56%) was multigravida. Among these 50 cases 8 (16%) women had undergone caesarean delivery and 42(84%) had vaginal delivery. All women received blood transfusion, 17 (34%) received blood and blood components (like PRBC, FFP AND platelets) and 33 (66%) cases received only PRBC transfusion. In these 50 cases, 32 (64%) required ICU admission for monitoring, remaining 18 (36%) were monitored in the labor-room. Bakri balloon was effective in 49 cases among 50. Success rate was 98%.Conclusions: Intrauterine balloon tamponade using Bakri balloon is effective for control of atonic PPH in majority of cases. 

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

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

scholarly journals ROLE OF PHYSICAL THERAPY IN THE TREATMENT OF POSTERIOR ANKLE IMPINGEMENT IN PEDIATRIC ATHLETES - A PROSPECTIVE STUDY

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0008
Author(s):  
Adam Saloom ◽  
Nick Purcell ◽  
Matthew Ruhe ◽  
Jorge Gomez ◽  
Jonathan Santana ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Prospective Study ◽  
Conservative Management ◽  
Pediatric Patients ◽  
Weight Bearing ◽  
Return To Sport ◽  
Time To Surgery ◽  
Ankle Impingement ◽  
Posterior Ankle Impingement

Background: Posterior ankle impingement (PAI) is a known cause of posterior ankle pain in athletes performing repetitive plantarflexion motion. Even though empirically recommended in adult PAI, there is minimal literature related to the role of conservative physical therapy (PT) in pediatric patients. Purpose: To identify patient characteristics and determine if there is a difference in pediatric patients with PAI who were successful with conservative PT and those who were unsuccessful, requiring surgical intervention. Methods: Prospective study at a tertiary children’s hospital included patients <18 years diagnosed with PAI and underwent PT. Patients who received PT at an external facility were excluded. Collected data included demographics, initial presentation at PT evaluation, treatment throughout PT, patient presentation at PT discharge, time to return to sport (RTS) from initial PT evaluation (if successful), time to surgery from initial PT evaluation (if unsuccessful). Visual Analogue Scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores were collected. Group comparisons were conducted using independent t-tests or chi-square analyses (alpha level set at .05). Results: 31 (12 males, 19 females) patients diagnosed with PAI were enrolled with a mean age 12.61 years (range: 8-17). Gymnastics, football, and basketball were the most commonly implicated sports (42% patients). All patients underwent initial conservative PT for an average of 16.24 weeks (9.23 visits ±7.73). 20/31(64.5%) patients failed conservative management and underwent arthroscopic debridement. PAI pathology was predominantly bony in 61.3% and soft tissue 38.7%. Between the successful PT group and unsuccessful PT group, there was no difference in the proportion of athletes/non-athletes (p=.643). Average RTS time for successful group was 11.47 weeks and average time to surgery for unsuccessful group was 17.82 weeks. There were no significant differences in sex (p=.332), age (p=.674), number of PT visits (p=.945), initial weight-bearing status (p=.367), use of manual therapy (p=.074) including manipulation (p=.172) and mobilization (p=.507), sport (p=.272), initial evaluation ankle ROM (p>.05). Initial AOFAS scores for pain, function, alignment, or total were not significantly different (p=.551, .998, .555, .964 respectively). Conclusion: The first prospective study in pediatric patients with PAI demonstrates that even though success of PT is not dependent on age, sex, sport or PAI pathology, a notable proportion of patients who undergo PT do not need surgery. Conservative management including PT should be the initial line of management for PAI. PT treatment and surgery (if unsuccessful with PT) allowed patients to return to prior level of activity/sports. Tables/Figures: [Table: see text]

Pharmaco-vigilance of oral MethylErgometrine prescriptions for delayed and secondary postpartum haemorrhage

2020 ◽  
Vol 48 (8) ◽  
pp. 853-855
Author(s):  
Abdul Rouf Pallivalapila ◽  
Isaac A. Babarinsa ◽  
Mariam Al-Baloushi ◽  
Ahmed Moursi ◽  
Arabo Bayo ◽  
...  
Keyword(s):  
Patient Information ◽  
Safety Profile ◽  
Postpartum Hemorrhage ◽  
Medication Safety ◽  
Postpartum Haemorrhage ◽  
Prescription Data ◽  
Information Leaflet ◽  
Trend Monitoring ◽  
Obstetrics And Gynaecology ◽  
Secondary Postpartum Hemorrhage

AbstractObjectivesThe objectives of this study were to quantify the prescription of oral methergin tablets in a busy Women’s Hospital, assess the stated indications for such prescription and highlight the issues and safety profile of Methergin use especially in the postpartum patient.MethodsReview of prescription data for oral Methergin and the corresponding annual figures on primary and secondary postpartum hemorrhage.ResultsOver a period of 5 years, oral Methergin prescriptions for delayed and secondary postpartum hemorrhage constituted less than 1% of the overall prescription in Obstetrics and Gynaecology, which ranged between 1214 and 2085 per year. The numbers were too few to ascertain any relationship with both types of postpartum hemorrhage. Although stated on the relevant Patient Information leaflet, no local or regional guideline on its use exist.ConclusionsSpecific and random trend monitoring of medications for continuing safety profile, risk benefit issues, or unapproved indication, may help in identifying, preventing and mitigating any medication safety matters. Clinical pharmacists in collaboration with physicians are well placed in conducting such pharmacovigilance activities to improve medication safety.

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