Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of California San Francisco, San Francisco, CA and Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Kaiser Permanente East Bay, Oakland, CA (JWHW).
Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (GKW).
Hawaii J Health Soc Welf. 2021 May;80(5):104-107.
The uterine sandwich is a relatively new surgical technique for managing postpartum hemorrhage, which is the leading cause of maternal mortality worldwide. The purpose of this case series is to describe a novel method of constructing the uterine sandwich by simultaneously combining intrauterine balloon tamponade and uterine compression sutures. Six patients with postpartum bleeding refractory to medical management were successfully treated with this novel method and avoided hysterectomy. There were no additional complications. This novel method of constructing a uterine sandwich appears to be a simple, safe, and effective technique that could be considered in cases of persistent postpartum bleeding. More research is needed to compare the efficacy of various techniques.
子宫三明治法是一种相对较新的用于治疗产后出血的外科技术，产后出血是全球范围内导致产妇死亡的主要原因。本病例系列旨在描述一种通过同时结合宫腔球囊填塞和子宫压迫缝合术来构建子宫三明治法的新方法。6 例对药物治疗无效的产后出血患者成功地接受了这种新方法治疗，避免了子宫切除术。没有出现其他并发症。这种构建子宫三明治法的新方法似乎是一种简单、安全、有效的技术，对于持续的产后出血病例可以考虑采用。需要进一步研究来比较各种技术的疗效。
