Inferior venacaval compression due to excessive abdominal packing

Santhosh, M.C.B.; Pai, Rohini Bhat; Sachidanand, R. S.; Byrappa, Varun; Rao, Raghavendra Pralhada

doi:10.1016/j.bjane.2013.03.012

Cited by 2 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If the packs are insufficiently compressive, there is a risk of persistent bleeding and thus failure. If, on the other hand, the pressure applied is too great, there is an increased risk of abdominal compartment syndrome, which has been extensively described after abdominal packing [ 20 – 25 ] and is defined by prolonged increase in intra-abdominal pressure above 20 mmHg, with onset of organ failure requiring abdominal decompression. In our series, intra-abdominal pressure was not measured in any woman following surgery, but no woman had suggestive symptoms of abdominal compartment syndrome.…”

Section: Discussionmentioning

confidence: 99%

Maternal outcome after abdominal packing for uncontrolled postpartum hemorrhage despite peripartum hysterectomy

et al. 2017

View full text Add to dashboard Cite

BackgroundIntra-abdominal packing is a possible option for persistent bleeding following hysterectomy for postpartum hemorrhage. However, to date, only very limited data about maternal outcome after intra-abdominal packing for surgically uncontrolled hemorrhage following hysterectomy are available. The objective of the current study was to estimate maternal outcome after intra-abdominal packing following unsuccessful peripartum hysterectomy for postpartum hemorrhage.MethodsA questionnaire was mailed to all maternity units performing more than 850 deliveries per year. Inclusion criteria were: all cases of abdominal packing performed following unsuccessful peripartum hysterectomy for postpartum hemorrhage between 2003 and 2013. The primary outcome was success of intra-abdominal packing, defined as the arrest of hemorrhage with no need of additional procedure.ResultsThe total number of deliveries during the study period that occurred in the 51 participating centers was 1,430,142. The centers reported a total of 718 (1 per 2000 deliveries) peripartum hysterectomies for PPH and 53 abdominal packings performed after unsuccessful peripartum hysterectomy (about 1 per 14 hysterectomies). A median of 5 [IQR 3–7] pads were used for packing. Abdominal packing was removed after a median of 39.5 hours [IQR 24–48]. The success rate of abdominal packing was 62% (33/53). Among the 20 (38%) women in whom bleeding did not stop following the use of abdominal packing, 6 required a second surgical intervention, 6 a pelvic artery embolization and the 8 other women had “only” further intensive resuscitation and pharmacological treatments. Finally, mortality rate was 24% (13/53).ConclusionOur results suggest that abdominal packing, used for duration of 24 to 48 hours, seems to be an option as an ultimate procedure to control persistent life-threatening postpartum hemorrhage following peripartum hysterectomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Maternal outcome after abdominal packing for uncontrolled postpartum hemorrhage despite peripartum hysterectomy

et al. 2017

View full text Add to dashboard Cite

show abstract

“…However, the success rate of classic packing would be low in “near miss” patients who are referred in a complicated condition like in our patients. Besides that, Compartment syndrome, which is commonly mentioned in the literature when intra-abdominal pressure exceeds the limit of 20 mm Hg, may develop and this is a serious complication that requires relaparotomy ( 17 , 18 ) . In our method, both abdominal fascial layers are not closed and decompression can be provided by releasing the distal tip of the Bakri balloon or by lowering the volume of the balloon when compartment syndrome develops.…”

Section: Discussionmentioning

confidence: 99%

Modified abdominal packing method in “near miss” patients with postpartum hemorrhages

Kılıççı

Polat

Küçükbaş

et al. 2018

tjod

View full text Add to dashboard Cite

Objective:To describe a more effective abdominal packing method in patients with disseminated intravascular coagulation following peripartum hysterectomy due to postpartum hemorrhage (PPH).Materials and Methods:The present retrospective and descriptive study was conducted to document six cases with refractory pelvic bleeding who underwent a second surgery for PPH between January 2016 and December 2017 at İstanbul Zeynep Kamil Woman and Children Diseases Training and Research Hospital.Results:Karateke packing was performed to control intra-abdominal massive hemorrhages of five women who were referred to our clinic due to PPH who had undergone peripartum hysterectomy and hypogastric artery ligation but hemostasis could not be provided. In addition, a case of hypovolemic shock due to placenta percreta rupture in a woman who had also undergone an emergency hysterectomy and hypogastric artery ligation, which had failed. Hemostasis was provided in all patients. No method-related complication developed.Conclusion:Karateke packing is a very easy method to perform, it is more effective than the classic abdominal packing technique, with a low complication rate, and most importantly, life-saving in patients undergoing a peripartum hysterectomy due to PPH and thereafter experiencing diffuse hemorrhage.

show abstract

Inferior venacaval compression due to excessive abdominal packing

Cited by 2 publications

References 3 publications

Maternal outcome after abdominal packing for uncontrolled postpartum hemorrhage despite peripartum hysterectomy

Maternal outcome after abdominal packing for uncontrolled postpartum hemorrhage despite peripartum hysterectomy

Modified abdominal packing method in “near miss” patients with postpartum hemorrhages

Contact Info

Product

Resources

About