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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2013, Number 2

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Rev Esp Med Quir 2013; 18 (2)

Comparison of Two Conservative Surgical Techniques for the Treatment of Obstetric Hemorrhage

Serrano BMÁ

Language: Spanish
References: 21
Page: 100-107
PDF size: 429.92 Kb.


ABSTRACT

Background: The World Health Organization (WHO) defines as obstetric hemorrhage a loss greater than 500 mL of the total volume of blood in the first 24 hours postpartum or greater than 1,000 mL of postoperative bleeding in cesarean procedures.
Objectives: To compare the results of two surgical techniques (uterine arteries ligation vs hypogastric arteries ligation) in the treatment of obstetric hemorrhage.
Material and method: A retrospective study that identified patients with obstetric hemorrhage in the list of the surgery and delivery rooms at Regional Hospital Lic. Adolfo López Mateos, from January 1, 2011 to Juanuary 1, 2013. Patients showing obstetric hemorrhage secondary to uterine atony who underwent uterine arteries ligation or hypogastric arteries ligation were included. Uterine bleeding due to other causes and/or coagulation disorders was not considered.
Results: Uterine arteries ligation was the most frequent technique used for postpartum obstetric hemorrhage; whereas hypogastrics arteries ligation was mainly used for transcesarean obstetric hemorrhage. Time of surgery, perioperative blood loss, time in hospital, blood transfusion and re-intervention requirement were lower for uterine arteries ligation technique in comparison with hypogastric arteries ligation.
Conclusions: Uterine arteries ligation is a faster and safer technique that allows the hemodynamic stabilization and the accelerated recovery of patients with postpartum and trans cesarean hemorrhage.


REFERENCES

  1. Secretaría de Salud. Lineamiento técnico. Prevención, diagnóstico y tratamiento de la hemorragia obstétrica. México: Secretaría de Salud, 2009.

  2. Secretaría de Salud. Diagnóstico y tratamiento de la hemorragia obstétrica en la segunda mitad del embarazo y puerperio inmediato. México: Secretaría de Salud, 2009.

  3. Up to date. Manejo de la hemorragia posparto en el parto por cesárea. 2011.

  4. Torreblanca E, Merchan G. Ligadura de arterias hipogástricas, análisis de 400 casos. Ginecol Obstet Méx 1993;61:242-246.

  5. Schaefer G, Graber E, Hemorragia en cirugía ginecológica. Cap. 34. En: Complicaciones quirúrgicas en obstetricia y ginecología. Barcelona: Salvat, 1986;455-469.

  6. Belmar C, Brañes J, Abarzúa F. Ligadura de las arterias hipogástricas en el manejo de la hemorragia. Rev Chil Obstet Ginecol 2001;66:414-418.

  7. Combs CA, Murphy EL, Laros RK. Factors associated with postpartum haemorrhage with vaginal birth. Obstet Gynecol 2001;77:69-76.

  8. Barrera J, Mederos O. Ligadura de las arterias hipogástricas de urgencia. Rev Cubana Cir 2000;39:136-138.

  9. Mora I, Robaina F. Ligadura de las arterias hipogástricas en las hemorragias tocoginecológicas. Rev Cubana Obstet Ginecol 2006;32:1-6.

  10. Morel O, et al. Pelvic arterial ligations for severe postpartum hemorrhage. Indications and techniques. J Visc Surg 2011;148:95-102.

  11. Malvinos E, Eisele G, Martínez M, et al. Hemorragias obstétricas exanguinantes. Clin Invest Gin Obst 2009;36:2-8.

  12. Oyelese Y, Scorza W. Hemorragia posparto. Obstet Gynecol Clin N Am 2007;34:421-441.

  13. Malvinos E, Eisele G, Martínez M, et al. Resultados en relación con la prevención y el tratamiento actual de las hemorragias obstétricas graves secundarias a atonías uterinas y acretismos placentarios. Clin Invest Gin Obst 2009;36:49-54.

  14. Montgomery L, Belfort M, Allon M, et al. Hypogastric artery ligation is an effective and safe alternative in patients with severe postpartum hemorrhage. Am J Obstet Gynecol 1995;172:29.

  15. Hurtado E, Cárdenas S. Ligadura de arterias hipogástricas, una cirugía heroica para evitar la mortalidad en ginecoobstetricia. Ginecol Obstet Méx 2009;1:138-143.

  16. Hanson G, Gouhh JD, Gillmer MDG. Control of persistent primary postpartum haemorrhage due to uterine atony with intravenous prostaglandin E2. Case report. Br J Obstet Gynaecol 1983;90:280-282.

  17. García H. Ligadura de las arterias hipogástricas y ováricas en hemorragias ginecoobstétricas. Rev Chil Obstet Ginecol 1988;53:178-184.

  18. Clark SL, Sze-Ya Y, Phelan JP, Bruce SR, Paul RH. Emergency hysterectomy for obstetric haemorrhage. Obstet Gynecol 1983;4:376-380.

  19. Skr A, Obrzut B, Stachurski J. Laparoscopic ligation of the internal iliac artery in bleeding cervix carcinoma. Zentralbl Gynakol 1995;117:480-490.

  20. Nandanwar YS, Jhalam L, Mayadeo N, Guttal DR. Ligation of internal iliac arteries for control of pelvic haemorrhage. J Postgrad Med 1993;39:194-196.

  21. Khelifi A, Amamou K, Salem A, Hmaied L, et al. Therapeutic ligature of hypogastric arteries: color Doppler follow-up. J Radiol 2000;81:607-610.




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