Novel use of balloon tamponade saves a patient with uterine inversion in severe shock

Yadav, Sumitra; Malhotra, Anjali

doi:10.18203/2320-1770.ijrcog20175298

Cited by 4 publications

(4 citation statements)

References 8 publications

(9 reference statements)

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“…The placenta did not come out spontaneously so controlled cord traction was performed. The doctor performed the traction carefully but there was a complete inversion of the uterus [14] . An accurate diagnosis needs to be made early because there is a misdiagnosis between uterine prolapse and uterine inversion.…”

Section: Discussionmentioning

confidence: 99%

Successful use of condom catheters for management of uterine inversion: Case report and literature review

Kurniawati

2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Successful use of condom catheters for management of uterine inversion: Case report and literature review

Kurniawati

2022

International Journal of Surgery Case Reports

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“…10 In another study by Yadav et al Bakri balloon was used effectively in cases of uterine inversion with fewer complications (infection and necrosis uterine) compared to uterine sutures. 11 Bakri balloon not only helps for uterine atony, it is also a re-inversion prevention method. Vivanti et al, were successful in using Bakri Balloon in the treatment of puerperal uterine inversion during caesarean section.…”

Section: Discussionmentioning

confidence: 99%

A study of uterine balloon tamponade for the management postpartum haemorrhage using Bakri balloon

Patil

Indumathi

Sarojini

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: PPH is the most common cause of maternal morbidity and mortality around the world. Incidence of PPH is 2-4% following vaginal delivery and 6% following cesarean delivery in India. Uterine atony is the most common cause of PPH. Treatment of PPH involves medical treatment and surgical management. In between medical and surgical management of PPH comes uterine balloon tamponade which is simple, less invasive and can be managed with minimal training.Methods: A retrospective cohort study was done for 2 years at Vanivilas hospital, Bangalore medical college and research centre, Bangalore, Karnataka. Cases of atonic PPH managed using Bakri balloon were included in the study. The objective of the study was to study the effectiveness of uterine balloon tamponade using Bakri balloon in the management of atonic PPH and to study the maternal outcome.Results: In this study total of 50 cases were included. Women were in the age group of 18 to 33years. Regarding obstetric history, 22 (44%) were primigravida and 28 (56%) was multigravida. Among these 50 cases 8 (16%) women had undergone caesarean delivery and 42(84%) had vaginal delivery. All women received blood transfusion, 17 (34%) received blood and blood components (like PRBC, FFP AND platelets) and 33 (66%) cases received only PRBC transfusion. In these 50 cases, 32 (64%) required ICU admission for monitoring, remaining 18 (36%) were monitored in the labor-room. Bakri balloon was effective in 49 cases among 50. Success rate was 98%.Conclusions: Intrauterine balloon tamponade using Bakri balloon is effective for control of atonic PPH in majority of cases.

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“…Yadav S et al, also reported the effectiveness of balloon tamponade in patient with uterine inversion. 8 In two patients of atonic bleeding B Lynch uterine compressive sutures were applied simultaneously with balloon tamponade. Wai Yoong et al, also reported the successful application of uterine compression suture in association with intrauterine balloon tamponade (uterine sandwitch).…”

Section: Discussionmentioning

confidence: 99%

A study of the efficacy and safety of the balloon tamponade in the management of atonic post-partum hemorrhage

Kumar

Kachchhap

Shrivastava

2020

Int J Reprod Contracept Obstet Gynecol

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Background: The most common cause of post-partum hemorrhage (PPH) is uterine atony. Treatment for atony follows a well-defined stepwise approach, including drugs and mechanical interventions followed by surgery as a last resort. Early use of intrauterine balloon tamponade is a way of limiting ongoing uterine blood loss while initiating other measures and can be readily implemented by providers with minimal training.Methods: This prospective interventional study was conducted in 112 consecutive patients attended department of obstetrics and gynecology, Gandhi Medical College and Associated Sultania Zanana Hospital, Bhopal, Madhya Pradesh, India, in one year of study period.Results: In this study most of the patients had gestational age >37 weeks [83 (74.1%)]. Most of the patients in the study had vaginal delivery [64 (57.1%)]. In 84 (75%) patients Bakri balloon was used followed by Burke balloon in 17 (15.2%) patients, condom catheter in 7 (6.2%) patients and CG balloon in 4 (3.6%) patients. Different types of balloons were used according to availability of balloon at the time of management. Most of the patients [71 (63.3%)] had trans-vaginal route of balloon placement and 41 (36.7%) patients underwent trans-abdominal balloon placement. Most of the patients 69 (61.65%), responded to tamponing within 20 minutes of balloon placement while 9 patients had negative tamponade and continued to bleed. Bakri balloon tamponade was most commonly used in 84 (75.0%) patients. CG balloon and condom catheter were used only in 4 (3.6%) and 7 (6.3%) patients respectively. Tamponading was effective and successful in 103 (92%) patients.Conclusions: PPH is still a leading but preventable cause of maternal morbidity and mortality. In the majority of cases, relatively simple methods are used to avert a disaster, although these are not always employed. Uterine tamponade using intrauterine balloons appears to be an effective tool in the management of PPH.

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Novel use of balloon tamponade saves a patient with uterine inversion in severe shock

Cited by 4 publications

References 8 publications

Successful use of condom catheters for management of uterine inversion: Case report and literature review

Successful use of condom catheters for management of uterine inversion: Case report and literature review

A study of uterine balloon tamponade for the management postpartum haemorrhage using Bakri balloon

A study of the efficacy and safety of the balloon tamponade in the management of atonic post-partum hemorrhage

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