The use of Zhukovsky vaginal and intrauterine balloons to improve the outcome of postpartum hysterectomies in patients with severe bleeding.
Autor: Barinov, Sergey V.; Medjannikova, Irina V.; Tirskaya, Yuliya I.; Chuprinin, Vladimir D.; Khilkevich, Elena G.; Savelyeva, Irina V.; Shamina, Inna V.; Borisova, Anna V.; Lazareva, Oksana V.
Publication year: 2020
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
issn:1476-4954
doi: 10.1080/14767058.2019.1566309
Abstract:
Aim: To assess the efficacy of a Zhukovsky obstetric double balloon for improving outcomes in women undergoing hysterectomy for postpartum hemorrhage.Materials and methods: This was a randomized controlled study. Participants were divided into two groups to undergo insertion of a Zhukovsky obstetric double balloon prior to hysterectomy (n = 16) or conventional hysterectomy (n = 25).Results: The main reasons for major obstetric hemorrhage were placenta accreta (53.6%), uterine atony (26.8%), uteroplacental apoplexy (14.6%), and amniotic fluid embolism (4.8%). The use of a Zhukovsky obstetric double balloon during postpartum hysterectomy was associated with a 1.7-fold reduction in blood loss and a 2.3-fold reduction in blood loss > 2000 ml compared with conventional hysterectomy.Conclusion: The use of a Zhukovsky obstetric double balloon represents a potent tool for improvement of immediate outcomes of hysterectomy in women with severe postpartum bleeding.
Language: eng
Rights:
Pmid: 30614315
Tags: Humans; Female; Retrospective Studies; Pregnancy; Postpartum Period; Hysterectomy; cesarean section; Cesarean Section; *Placenta Accreta/surgery; delivery; *Postpartum Hemorrhage/surgery; *Uterine Inertia/surgery; Bleeding; hysterectomy; obstetric hemorrhage; Zhukovsky intrauterine balloon; Zhukovsky vaginal balloon
Link: https://pubmed.ncbi.nlm.nih.gov/30614315/
