Addition of mid-section loop ligation enhances hemostatic efficacy of intrauterine balloon tamponade for treating PPH: Study
Researchers have demonstrated that intrauterine balloon tamponade combined with mid-section loop ligation significantly improves the management of postpartum hemorrhage (PPH), especially in patients who have undergone cesarean section. A recent study was conducted by Liu W. and colleagues published in the journal Archives of Gynecology and Obstetrics.
Postpartum hemorrhage is a leading cause of maternal morbidity and mortality worldwide. Intrauterine balloon tamponade applies internal uterine pressure, while uterine compression sutures like mid-section loop ligation exert external pressure to control bleeding. This study aimed to evaluate the hemostatic and perioperative outcomes of combining these techniques in PPH management.
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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