dc.contributor.author
Seidel, Vera
dc.contributor.author
Braun, Thorsten
dc.contributor.author
Weizsäcker, Katharina
dc.contributor.author
Henrich, Wolfgang
dc.date.accessioned
2019-04-23T13:25:19Z
dc.date.available
2019-04-23T13:25:19Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/24479
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-2250
dc.description.abstract
INTRODUCTION: Postpartum or peripartum hemorrhage (PPH) is a major cause of maternal death worldwide. Fertility preserving second stage interventions following uterotonic medications may include compression sutures, uterine balloon tamponade and ligation or embolization of arteries. PRESENTATION OF CASE: We present a case of PPH where a novel "uterine sandwich" approach (combination of chitosan-covered gauze with intrauterine balloon tamponade) was effectively used to stop further blood loss and prevented more invasive second stage interventions. Furthermore, we present the ultrasonographic image of chitosan-covered gauze in the uterine cavity. DISCUSSION: Chitosan-covered gauze and intrauterine balloon tamponade are complementary in their mechanism of work, the balloon reducing blood flow into the uterus and the chitosan-covered gauze enhancing the coagulation. CONCLUSION: This novel "uterine sandwich" approach can be a useful method for fertility preserving management of PPH. (C) 2018 Published by Elsevier Ltd on behalf of US Publishing Group Ltd.
en
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject
Postpartum hemorrhage
en
dc.subject
Intrauterine balloon tamponade
en
dc.subject
Obstetric complications
en
dc.subject
Chitosan-covered gauze
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Application of chitosan-covered gauze in combination with intrauterine balloon tamponade for postpartum hemorrhage treatment - Case report of a novel "uterine sandwich" approach
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1016/j.ijscr.2018.05.006
dcterms.bibliographicCitation.journaltitle
International journal of surgery case reports
dcterms.bibliographicCitation.originalpublishername
Elsevier
dcterms.bibliographicCitation.pagestart
101
dcterms.bibliographicCitation.pageend
103
dcterms.bibliographicCitation.volume
48
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
29883918
dcterms.isPartOf.issn
2210-2612