Key result
Placement of intrauterine tamponade balloons with shafts passed through the anterior abdominal wall successfully stopped profuse hemorrhage during cesarean section for placenta previa accreta.
Why the study?
Does the placement of intrauterine tamponade balloons through the abdominal wall control intraoperative hemorrhage in patients with placenta previa accreta during cesarean section?
Case Report (n=1)
Does the placement of intrauterine tamponade balloons through the abdominal wall control intraoperative hemorrhage in patients with placenta previa accreta during cesarean section?
Intrauterine tamponade balloons with shafts passed through the abdominal wall may be a useful maneuver to control severe intraoperative hemorrhage during cesarean section for placenta previa accreta.
May offer a rescue option in refractory hemorrhage; hypothesis-generating and requires prospective validation before adoption.
BACKGROUND: Conservative management for placenta previa accreta (PPA) may be preferred, but uncontrollable hemorrhage sometimes occurs during a cesarean section. CASE: We present a case with a successful maneuver for the management of intraoperative hemorrhage in PPA. Profuse hemorrhage occurred due to partial placental separation during a cesarean section. The bleeding was stopped by the placement of intrauterine tamponade balloons with their shafts passed through the anterior abdominal wall. The catheters were removed after 24 h. The patient had no complications, and the placenta spontaneously resorbed three months after delivery. CONCLUSION: This is a useful addition to the options for management of PPA at cesarean section.
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Kondoh et al. (2013) conducted a case report in Placenta previa accreta with intraoperative hemorrhage (n=1). Intrauterine tamponade balloons with shafts passed through the anterior abdominal wall was evaluated on Hemorrhage control and complications. Placement of intrauterine tamponade balloons with shafts passed through the anterior abdominal wall successfully stopped profuse hemorrhage during cesarean section for placenta previa accreta.
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