Addition of mid-section loop ligation enhances hemostatic efficacy of intrauterine balloon tamponade for treating PPH: Study

The study analyzed 74 pregnancies complicated with PPH after CS at a single hospital between February 2021 and May 2022.

Patients were divided into two groups:

• Study group (30 cases): Intrauterine balloon tamponade combined with mid-section loop ligation.

• Control group (44 cases): Treated with intrauterine balloon tamponade alone. Important endpoints such as surgical time, blood loss, perioperative outcomes, hospital stay, and uterine recovery were compared between groups.

Surgery Time:

• The study group had a significantly shorter procedural time compared to the control group.

Blood Loss:

• The study group had reduced postoperative bleeding, suggesting better hemostatic control.

Hospital Stay:

• No statistical difference was observed in the hospital stay between the groups.

Uterine Recovery:

• Both groups achieved similar results on uterine recovery; hence, combining techniques has no undesirable effects.

This study shows that combining mid-section loop ligation with intrauterine balloon tamponade significantly enhances hemostatic efficacy, cuts surgical time and minimises post-operative blood loss. Such a finding gives a strong basis for trying this combined approach within a clinical setting, thereby providing an opportunity to improve patients' outcomes for postpartum hemorrhage.

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