دورية أكاديمية
أعرض في EDS

A Uterus-Preserving Treatment for Uncontrollable Postpartum Hemorrhage: Esike's Technique.

التفاصيل البيبلوغرافية
العنوان: A Uterus-Preserving Treatment for Uncontrollable Postpartum Hemorrhage: Esike's Technique.
المؤلفون: Esike COU; Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, and the Department of Obstetrics and Gynecology, Faculty of Medicine, College of Health Sciences, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria.
المصدر: Obstetrics and gynecology [Obstet Gynecol] 2020 Sep; Vol. 136 (3), pp. 466-469.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0401101 Publication Model: Print Cited Medium: Internet ISSN: 1873-233X (Electronic) Linking ISSN: 00297844 NLM ISO Abbreviation: Obstet Gynecol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2004- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: New York.
مواضيع طبية MeSH: Suture Techniques* , Uterus*, Organ Sparing Treatments/*methods , Postpartum Hemorrhage/*surgery, Adult ; Female ; Humans ; Pregnancy ; Treatment Outcome ; Young Adult
مستخلص: Background: Postpartum hemorrhage is a leading cause of maternal morbidity and mortality worldwide, with uterine atony responsible in 80% of cases. In intractable cases, hysterectomy is the final treatment, but it has complications. Many doctors in developing countries with high maternal mortality rates from postpartum hemorrhage can perform cesarean deliveries but cannot perform hysterectomy. Patients with postpartum hemorrhage who need hysterectomy in these countries will die in such cases, whereas, if doctors know this simple, easily learned technique, such patients may survive.
Technique: Esike's technique is a uterine-compression method that uses supplies generally available at delivery hospitals. Six sutures are placed in the lower uterine segment, three anteriorly and three posteriorly. Starting with the middle sutures, the sutures are tied at the fundus with the help of an assistant to provide uterine compression. The more laterally placed sutures are then tied similarly, resulting in uterine compression and stoppage of postpartum hemorrhage.
Experience: Esike's technique was used in controlling life-threatening, uncontrollable postpartum hemorrhage in 18 women and was successful in 16 (89%) without requiring hysterectomy.
Conclusion: Esike's technique is effective in controlling life-threatening postpartum hemorrhage and can be used in low-resource settings with commonly available supplies and performed by doctors with a common level of training.
التعليقات: Comment in: Obstet Gynecol. 2020 Nov;136(5):1065-1066. (PMID: 33093417)
Comment in: Obstet Gynecol. 2020 Nov;136(5):1066-1067. (PMID: 33093418)
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تواريخ الأحداث: Date Created: 20200810 Date Completed: 20201125 Latest Revision: 20210108
رمز التحديث: 20221213
DOI: 10.1097/AOG.0000000000003947
PMID: 32769652
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-233X
DOI:10.1097/AOG.0000000000003947