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

Written By : Dr Riya Dave |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2024-11-22T21:00:32+05:30  |  Updated On 23 Nov 2024 12:22 PM IST
Addition of mid-section loop ligation enhances hemostatic efficacy of intrauterine balloon tamponade for treating PPH: Study
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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.

Reference:

Liu, W., Sha, Y., Yang, X., Yan, X., Yang, L., Li, J., Tang, Y., & Yu, J. (2024). Intrauterine balloon tamponing combined with mid-section loop ligation for postpartum hemorrhage: a retrospective analysis. Archives of Gynecology and Obstetrics. https://doi.org/10.1007/s00404-024-07824-4
Archives of Gynecology and Obstetricspostpartum hemorrhageintrauterine balloon tamponademid-section loop ligationhemostatic efficacycesarean sectionuterine recoveryperioperative outcomes
Source : Archives of Gynecology and Obstetrics
Dr Riya Dave
Dr Riya Dave

    Dr Riya Dave has completed dentistry from Gujarat University in 2022. She is a dentist and accomplished medical and scientific writer known for her commitment to bridging the gap between clinical expertise and accessible healthcare information. She has been actively involved in writing blogs related to health and wellness.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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