Surgery Uterine Salvage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients under general anesthesia with atonic postpartum hemorrhage refractory to uterine massage, ecbolics (oxytocin 30 units IM, methergine 0.25 mg, misoprostol 1000 µg rectal) and bimanual compression. If these measures failed, the modified or classic technique was done randomly. 5 minutes later, the patient is observed abdominally and vaginally for bleeding. If bleeding had stopped, closure of the abdomen with intraperitoneal drain is done, but if bleeding still continued, this represents a failure of the compression sutures thus, internal iliac artery ligation or hysterectomy will be done.
Exclusion criteria
Exclusion criteria: Exclusion criteria Patients with traumatic PPH, DIC, bleeding diathesis, retained parts of the placenta or cases with uterine anomalies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| uterine salvage | — |
Countries
Egypt
Contacts
abbaseya