Uterine artery embolization versus surgical management in primary atonic postpartum hemorrhage: A random
Background: Postpartum hemorrhage is the leading cause of severe maternal morbidity and death. A prompt management of uterine atony is life saving. Surgery can be needed in many cases. Uterine artery embolization (UAE) is a safe procedure and can be tried to be alternative to surgical approach. Obje...
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doaj-d0ac6cbda59a41fe840d721f0f6699c72020-11-25T02:15:01ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2016-09-0147381782310.1016/j.ejrnm.2016.06.012Uterine artery embolization versus surgical management in primary atonic postpartum hemorrhage: A randomOmar Farouk0Walid Elbasuony1Ahmed Elbohouty2Department of Radiology, Ain Shams University, Cairo, EgyptDepartment of Obstetrics and Gynecology, Ain Shams University, Cairo, EgyptDepartment of Obstetrics and Gynecology, Ain Shams University, Cairo, EgyptBackground: Postpartum hemorrhage is the leading cause of severe maternal morbidity and death. A prompt management of uterine atony is life saving. Surgery can be needed in many cases. Uterine artery embolization (UAE) is a safe procedure and can be tried to be alternative to surgical approach. Objective: To evaluate the clinical effectiveness and safety of uterine artery embolization (UAE) in comparison with stepwise devascularization and compression sutures in the treatment of postpartum hemorrhage (PPH). Methods: Randomized controlled parallel-group trial included twenty-three women with postpartum hemorrhage who were treated with either selective embolization of the uterine arteries or stepwise devascularization and compression sutures after failure of conservative measures. Results: Technical success was achieved in 9 patients (81.8%) of cases with complete cessation of the bleeding, while 2 cases (18.2%) suffered DIC and needed hysterectomy in the UAE group, while the other group (12 patients) had stepwise devascularization and compression sutures done after failure of the conservative measures, with 3 cases who needed hysterectomy after failure of these methods. Conclusions: Uterine artery embolization is a safe, minimally invasive and effective method for treatment of postpartum hemorrhage and is alternative to surgical management.http://www.sciencedirect.com/science/article/pii/S0378603X16300948AtonyPostpartum hemorrhageUterine artery embolizationStepwise devascularization B-lynch |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Omar Farouk Walid Elbasuony Ahmed Elbohouty |
spellingShingle |
Omar Farouk Walid Elbasuony Ahmed Elbohouty Uterine artery embolization versus surgical management in primary atonic postpartum hemorrhage: A random The Egyptian Journal of Radiology and Nuclear Medicine Atony Postpartum hemorrhage Uterine artery embolization Stepwise devascularization B-lynch |
author_facet |
Omar Farouk Walid Elbasuony Ahmed Elbohouty |
author_sort |
Omar Farouk |
title |
Uterine artery embolization versus surgical management in primary atonic postpartum hemorrhage: A random |
title_short |
Uterine artery embolization versus surgical management in primary atonic postpartum hemorrhage: A random |
title_full |
Uterine artery embolization versus surgical management in primary atonic postpartum hemorrhage: A random |
title_fullStr |
Uterine artery embolization versus surgical management in primary atonic postpartum hemorrhage: A random |
title_full_unstemmed |
Uterine artery embolization versus surgical management in primary atonic postpartum hemorrhage: A random |
title_sort |
uterine artery embolization versus surgical management in primary atonic postpartum hemorrhage: a random |
publisher |
SpringerOpen |
series |
The Egyptian Journal of Radiology and Nuclear Medicine |
issn |
0378-603X |
publishDate |
2016-09-01 |
description |
Background: Postpartum hemorrhage is the leading cause of severe maternal morbidity and death. A prompt management of uterine atony is life saving. Surgery can be needed in many cases. Uterine artery embolization (UAE) is a safe procedure and can be tried to be alternative to surgical approach.
Objective: To evaluate the clinical effectiveness and safety of uterine artery embolization (UAE) in comparison with stepwise devascularization and compression sutures in the treatment of postpartum hemorrhage (PPH).
Methods: Randomized controlled parallel-group trial included twenty-three women with postpartum hemorrhage who were treated with either selective embolization of the uterine arteries or stepwise devascularization and compression sutures after failure of conservative measures.
Results: Technical success was achieved in 9 patients (81.8%) of cases with complete cessation of the bleeding, while 2 cases (18.2%) suffered DIC and needed hysterectomy in the UAE group, while the other group (12 patients) had stepwise devascularization and compression sutures done after failure of the conservative measures, with 3 cases who needed hysterectomy after failure of these methods.
Conclusions: Uterine artery embolization is a safe, minimally invasive and effective method for treatment of postpartum hemorrhage and is alternative to surgical management. |
topic |
Atony Postpartum hemorrhage Uterine artery embolization Stepwise devascularization B-lynch |
url |
http://www.sciencedirect.com/science/article/pii/S0378603X16300948 |
work_keys_str_mv |
AT omarfarouk uterinearteryembolizationversussurgicalmanagementinprimaryatonicpostpartumhemorrhagearandom AT walidelbasuony uterinearteryembolizationversussurgicalmanagementinprimaryatonicpostpartumhemorrhagearandom AT ahmedelbohouty uterinearteryembolizationversussurgicalmanagementinprimaryatonicpostpartumhemorrhagearandom |
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1724898398027382784 |