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Case Reports
. 2018 Sep;132(3):643-646.
doi: 10.1097/AOG.0000000000002792.

Balloon Uterine Tamponade Device After Peripartum Hysterectomy for Morbidly Adherent Placenta

Ashten Waks  1 , Kareem Tabsh, Khalil Tabsh, Yalda Afshar
Affiliations
Case Reports

Balloon Uterine Tamponade Device After Peripartum Hysterectomy for Morbidly Adherent Placenta

Ashten Waks et al. Obstet Gynecol. 2018 Sep.

Abstract

Background: Perioperative hemorrhage is a common complication of peripartum hysterectomy for morbidly adherent placenta. We present an application of a balloon uterine tamponade device in the setting of a cesarean delivery and subsequent supracervical hysterectomy for abnormal placentation.

Case: A 33-year-old gravid woman, 6 para 3022, at 33 2/7 weeks of gestation was admitted in preterm labor, with placenta previa and suspected morbidly adherent placenta, for a planned cesarean delivery and hysterectomy. After supracervical hysterectomy, colloid resuscitation and packing failed to provide hemostasis. A transcervical balloon uterine tamponade device subsequently was placed intraperitoneally and left on tension owing to the need for further tamponade.

Conclusion: Use of a balloon uterine tamponade device intraperitoneally posthysterectomy was associated with hemorrhage control. This application may facilitate timely management and streamlining of obstetric resources for postpartum hemorrhage.

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References

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