Bolbos George, Sindos Michael
First Department of Obstetrics and Gynecology, Alexandra Maternity Hospital, Athens University, Athens, Greece.
Arch Gynecol Obstet. 2005 Jul;272(2):142-4. doi: 10.1007/s00404-004-0685-z. Epub 2005 Mar 16.
We describe a new conservative surgical technique for the management of intra-operative post-caesarean bleeding.
This technique involves the application of ligation sutures to the main branches of the right and left uterine arteries at the level of the lower segment transverse uterine incision and a constriction suture to the lower segment of the posterior uterine wall.
We have used this method in nine cases and it was effective in controlling the bleeding in eight, thus avoiding the need for a more extensive procedure.
If medical management fails to control intra-operative post-caesarean bleeding, conservative surgery or even a caesarean hysterectomy may be required. Our technique is presented as a safe, simple, effective and readily reproducible alternative. Also, its effectiveness can be promptly assessed and if the bleeding persists, another, more complex procedure can be performed.
我们描述一种用于处理剖宫产术中出血的新型保守手术技术。
该技术包括在子宫下段横切口水平对左右子宫动脉的主要分支应用结扎缝线，并对子宫后壁下段应用缩窄缝线。
我们已将此方法用于9例患者，其中8例有效控制了出血，从而避免了更广泛手术的需要。
如果药物治疗无法控制剖宫产术中出血，可能需要进行保守手术甚至剖宫产子宫切除术。我们的技术是一种安全、简单、有效且易于重复的替代方法。此外，其有效性可迅速评估，若出血持续，可进行另一种更复杂的手术。
