Laparoscopic Bipolar Coagulation of Hypogastric Artery in Postpartum Haemorrhage: A Case Report

Panuccio, Enrico; Volpi, Eugenio; Ferrero, Annamaria; Sismondi, P

doi:10.1155/2011/250325

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…They further opted for laparoscopic bipolar coagulation of uterine vessels and successfully managed to arrest bleeding and preserve the uterus. Similarly, Panuccio et al [19] also described a rare case of laparoscopic coagulation of hypogastric artery technique in a patient with PPH. When performing a laparoscopic abdominal re-exploration for PPH, the surgeon should be mindful of the various patterns in which PPH bleeding may occur.…”

Section: Discussionmentioning

confidence: 91%

Laparoscopic Hemostasis of Intractable Delayed Postpartum Hemorrhage

Limbachiya

Kenkre

Shah

et al. 2021

Cureus

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Postpartum hemorrhage (PPH) is associated with considerable morbidity and mortality, particularly when relaparotomy is necessary. The etiology of spontaneous intractable PPH in a hemodynamically stable patient is poorly understood and remains open to speculation. Secondary, or delayed, PPH is usually defined as the excessive bleeding from the genital tract, with a loss of 500 ml or more of blood occurring after the first 24 hours after delivery until the sixth week of puerperium. In this report, we present three cases of severe, diffuse postpartum bleeding unresponsive to conventional hemostatic measures, which were successfully managed laparoscopically at our center. In all three cases, hemostasis was accomplished by using a laparoscopic procedure: with the excision of cervical stump bleeding in the first case, bilateral uterine artery ligation accompanied by laparoscopic hysterectomy in the second case, and bilateral internal iliac artery ligation in the third case.

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Section: Discussionmentioning

confidence: 91%

Laparoscopic Hemostasis of Intractable Delayed Postpartum Hemorrhage

Limbachiya

Kenkre

Shah

et al. 2021

Cureus

View full text Add to dashboard Cite

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Laparoscopic Management of a Trapped Placenta Following Normal Delivery in a Woman With a Mullerian Anomaly

Kaya,

Varlik,

Savkli

et al. 2024

Cureus

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Entrapped placenta following vaginal delivery is an uncommon complication. In resistant cases, it needs to be removed by laparotomy, although this is exceptionally rare. Here, we report a 28-year-old woman, 33 weeks pregnant through in vitro fertilization, who delivered a premature male baby weighing 2400 grams with an Apgar score of 7. After delivery, the placenta remained in the unicornuate uterus. Ultrasound ruled out placenta accreta spectrum, and manual removal attempts under anesthesia failed due to lower uterine segment contraction despite using nitroglycerine. Conservative management with misoprostol and broad-spectrum antibiotics was initiated. However, increasing C-reactive protein levels and abdominal pain necessitated a computerized tomography scan, revealing the placenta trapped in the unicornuate uterus. Thirty-six hours after the delivery, the decision was made to remove the placenta laparoscopically instead of laparotomy. A unicornuate uterus containing a placenta on the right and the left rudimentary horn connected to the right uterus with bilateral adnexa, including theca cysts, were revealed during laparoscopic observation. No pelvic organ injury was noted. The placenta was removed via a fundal incision with a monopolar hook and using claw traumatic forceps. The uterus was closed with V-lock sutures; additional Z-sutures were applied. A 270-gram entire placenta was extracted using an endo bag successfully. The patient was discharged several days after the procedure without any complications. Laparoscopic extraction of a third-trimester placenta can successfully be used in resistant cases while avoiding laparotomy, even in the early postpartum period.

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Laparoscopic Bipolar Coagulation of Hypogastric Artery in Postpartum Haemorrhage: A Case Report

Cited by 2 publications

References 12 publications

Laparoscopic Hemostasis of Intractable Delayed Postpartum Hemorrhage

Laparoscopic Hemostasis of Intractable Delayed Postpartum Hemorrhage

Laparoscopic Management of a Trapped Placenta Following Normal Delivery in a Woman With a Mullerian Anomaly

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