Wangping Zhang, Hanbing Wu
Department of Anesthesiology Department of Obstetrics, Women and Children's Hospital of Jiaxing University, Jiaxing, China.
Medicine (Baltimore). 2017 Dec;96(52):e9564. doi: 10.1097/MD.0000000000009564.
Postpartum hemorrhage is a common complication and difficult problem in obstetrics. Radiofrequency-induced endometrial ablation (RFIEA) widely used in abnormal uterine bleeding and achieved good effects. This article will investigate the effect of RFIEA for treatment of postpartum hemorrhage.
A 26-year-old healthy full-term parturient woman presented with postpartum hemorrhage after vaginal delivery for 11 hours, who was ready to emergency surgery (hysterectomy) 7 hours after inserting an intrauterine balloon into uterine cavity.
Blood loss after vaginal delivery was more than 500 mL during 11 hours in the full-term parturient woman.
We applied RFIEA to treatment of postpartum hemorrhage. With the patient in dorsal lithotomy position, we advanced the disposable device according to the instruction and operated the Novasure system in semi-automatic mode.
There was no obvious endometrial bleeding found with hysteroscopy at the end of surgery. No complications (such as thermal injury to adjacent tissue, uterine perforation, bowel perforation) were observed.
It is safe and effective to treat postpartum hemorrhage after vaginal delivery using RFIEA.
产后出血是产科常见的并发症和难题。射频子宫内膜去除术(RFIEA)广泛应用于异常子宫出血并取得了良好效果。本文将探讨RFIEA治疗产后出血的效果。
一名26岁健康足月产妇,阴道分娩11小时后出现产后出血,在宫腔置入宫腔球囊7小时后准备行急诊手术(子宫切除术)。
该足月产妇阴道分娩11小时内失血超过500毫升。
我们采用RFIEA治疗产后出血。患者取膀胱截石位,按照说明书推进一次性装置,以半自动模式操作诺舒系统。
手术结束时宫腔镜检查未发现明显子宫内膜出血。未观察到并发症(如邻近组织热损伤、子宫穿孔、肠穿孔)。
使用RFIEA治疗阴道分娩后产后出血安全有效。