Advertisement

History of Surgical Remedies for Obstetrical Uterine Hemorrhage

  • Satoru TakedaEmail author
  • Yasuhisa Terao
Chapter

Abstract

Arterial ligation and stepwise uterine devascularization were formerly used as hemostatic techniques to control massive hemorrhage during cesarean section without hysterectomy and to preserve the uterus. However, depending on the sites of arterial ligation, the hemostatic effect was often inadequate because of collateral circulation. Subsequently, insufficient blood flow and ischemia in the preserved uterus caused ovarian dysfunction and endometrial growth impairment, (e.g., hypomenorrhea, oligomenorrhea, amenorrhea, and infertility). Furthermore, it has been recognized that subsequent pregnancies can be complicated by premature labor, spontaneous abortion, placenta accreta, etc. At present, arterial ligation is not performed.

In place of this technique, various compression sutures, including the B-Lynch suture which was first reported in 1997, are the current mainstream hemostatic techniques for uterine hemorrhage during cesarean section and are widely used in clinical practice. Moreover, Bakri et al. reported favorable hemostatic outcomes when managing hemorrhage from placenta previa and placenta previa accreta by balloon tamponade. This technique is used for hemostasis in uterine hemorrhage not only during cesarean section but also after vaginal delivery. The hemostatic techniques in use have recently undergone diversification, including application of a combination of intrauterine compression hemostasis and balloon tamponade and intraoperative arterial embolization, performed in a hybrid operating room.

Keywords

Critical uterine hemorrhage Cesarean section Compression sutures Uterine balloon tamponade Interventional radiology Arterial embolization Arterial balloon occlusion Damage control 

References

  1. 1.
    Matsunaga S, Seki H, Ono Y, Matsumura H, Murayama Y, Takai Y, Saito M, Takeda S, Maeda H. A retrospective analysis of transfusion management for obstetric hemorrhage in a Japanese obstetric center. ISRN Obstet Gynecol. 2012;2012. Article ID 854064, 8 pages.  https://doi.org/10.5402/2012/854064.CrossRefGoogle Scholar
  2. 2.
    Makino S, Takeda S, Kobayashi T, Murakami M, Kubo T, Hata T, Masuzaki H. National survey of fibrinogen concentrate usage for post-partum hemorrhage in Japan: investigated by the Perinatology Committee, Japan Society of Obstetrics and Gynecology. J Obstet Gynaecol Res. 2015;41(8):1155–60.  https://doi.org/10.1111/jog.12708.CrossRefPubMedGoogle Scholar
  3. 3.
    Matsunaga S, Takai Y, Nakamura E, Era S, Ono Y, Yamamoto K, Maeda H, Seki H. The clinical efficacy of fibrinogen concentrate in massive obstetric haemorrhage with hypofibrinogenaemia. Sci Rep. 2017;7:46749.CrossRefGoogle Scholar
  4. 4.
    Takeda S, Makino S, Takeda J, Kanayama N, Kubo T, Nakai A, Suzuki S, Seki H, Terui K, Inaba S, Miyata S. Japanese clinical practice guide for critical obstetrical hemorrhage (2017 revision). J Obstet Gynaecol Res. 2017;43(10):1517–21.CrossRefGoogle Scholar
  5. 5.
    Sone M, Nakajima Y, Woodhams R, Shioyama Y, Tsurusaki M, Hiraki T, Yoshimatsu M, Hyodoh H, Kubo T, Takeda S, Minakami H. Interventional radiology for critical hemorrhage in obstetrics: Japanese Society of Interventional Radiology (JSIR) procedural guidelines. Jpn J Radiol. 2015;33(4):233–40.  https://doi.org/10.1007/s11604-015-0399-0.IVR.CrossRefPubMedGoogle Scholar
  6. 6.
    Georgiou C. A review of current practice in using balloon tamponade technology in the management of postpartum haemorrhage. Hypertens Res Pregnancy. 2014;2:1–10.CrossRefGoogle Scholar
  7. 7.
    Waters EG. Surgical management of postpartum hemorrhage with particular reference to ligation of uterine arteries. Am J Obstet Gynecol. 1952;64:1143–8.CrossRefGoogle Scholar
  8. 8.
    O’Leary JL, O’Leary JA. Uterine artery ligation in the control of intractable postpartum hemorrhage. Am J Obstet Gynecol. 1966;94:920–4.CrossRefGoogle Scholar
  9. 9.
    AbdRabbo SA. Stepwise uterine devascularization: a novel technique for management of uncontrolled post-partum hemorrhage with preservation of the uterus. Am J Obstet Gynecol. 1994;171:694–700.CrossRefGoogle Scholar
  10. 10.
    Makino S, Hirai C, Takeda J, Yorifuji T, Itakura A, Takeda S. Hemostatic technique during cesarean section. Hypertens Res Pregnancy. 2016;4:6–10.CrossRefGoogle Scholar
  11. 11.
    Iwata A, Murayama Y, Itakura A, Baba K, Seki H, Takeda S. Limitations of internal iliac artery ligation for the reduction of intraoperative hemorrhage during cesarean hysterectomy in cases of placenta previa accreta. J Obstet Gynaecol Res. 2010;36(2):254–9.CrossRefGoogle Scholar
  12. 12.
    B-Lynch C, Coker A, Lawal AH, et al. The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported. Br J Obstet Gynaecol. 1997;104:372–5.CrossRefGoogle Scholar
  13. 13.
    Hwu YM, Chen CP, Chen HS, et al. Parallel vertical compression sutures: a technique to control bleeding from placenta praevia or accreta during caesarean section. BJOG. 2005;112:1420–3.CrossRefGoogle Scholar
  14. 14.
    Makino S, Takeda S, Yorifuji T, et al. Double vertical compression sutures: a novel conservative approach to managing post-partum haemorrhage due to placental praevia and atonic bleeding. Aust N J Obstet gynaecol. 2012;52:290–2.CrossRefGoogle Scholar
  15. 15.
    Tanaka T, Makino S, Yorifuji T, Saito T, Koshiishi T, Tanaka S, Ota A, Takeda S. Vertical compression sutures for control of postpartum hemorrhage from a placenta previa in cesarean section—to evaluate the usefulness of this technique. Hypertens Res Pregnancy. 2014;2:21–5.CrossRefGoogle Scholar
  16. 16.
    Takeda J, Hiranuma K, Hirayama T, Makino S, Itakura A, Takeda S. The use of medial, wider vertical compression sutures to reduce uterine blood flow for effaced uterine isthmus: a case report. J Obstet Gynaecol. 2018;38(6):871–3.  https://doi.org/10.1080/01443615.2017.1387522.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Takeda J, Makino S, Matsumura Y, Itakura A, Takeda S. Enclosing sutures technique for control of local bleeding in a case of placenta increta. J Obstet Gynaecol Res. 2018;44(8):1472–5.  https://doi.org/10.1111/jog.13670.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Bakri YN, Amri A, Abdul Jabbar F. Tamponade-balloon for obstetrical bleeding. Int J Gynecol Obstet. 2001;74:139.CrossRefGoogle Scholar
  19. 19.
    Yorifuji T, Tanaka T, Makino S, Koshiishi T, Sugimura M, Takeda S. Balloon tamponade in atonic bleeding induces uterine contraction: attempt to quantify uterine stiffness using acoustic radiation force impulse elastography before and after balloon tamponade. Acta Obstet Gynecol Scand. 2011;90(10):1171–2.CrossRefGoogle Scholar
  20. 20.
    Takeda J, Makino S, Hirai C, Shimanuki Y, Inagaki T, Itakura A, Takeda S. Long-term uterine balloon tamponade for treatment and obliteration of ruptured uterine pseudoaneurysm. Taiwan J Obstet Gynecol. 2018;57:329–31.CrossRefGoogle Scholar
  21. 21.
    Laas E, Bui C, Popowski T, et al. Trends in the rate of invasive procedures after the addition of the intrauterine tamponade test to a protocol for management of severe postpartum hemorrhage. Am J Obstet Gynecol. 2012;207:281.e1–7.CrossRefGoogle Scholar
  22. 22.
    Makino S, Takeda J, Hirai C, Itakura A, Takeda S. Uterine balloon tamponade as a test to assess the further treatment. Acta Obstet Gynecol Scand. 2015;94(5):556.  https://doi.org/10.1111/aogs.12599.CrossRefPubMedGoogle Scholar
  23. 23.
    Inoue S, Masuyama H, Hiramatsu Y, Multi-Institutional Study Group of Transarterial Embolization for Massive Obstetric Haemorrhage in Chugoku & Shikoku Area Society of Obstetrics and Gynecology. Efficacy of transarterial embolisation in the management of post-partum haemorrhage and its impact on subsequent pregnancies. Aust N Z J Obstet Gynaecol. 2014;54(6):541–5.CrossRefGoogle Scholar
  24. 24.
    Takeda J, Makino S, Ota A, Tawada T, Mitsuhashi N, Takeda S. Spontaneous uterine rupture at 32 weeks of gestation after previous uterine artery embolization. J Obstet Gynaecol Res. 2013;40(1):243–6.  https://doi.org/10.1111/jog.12122.CrossRefPubMedGoogle Scholar
  25. 25.
    Sano Y, Takeda J, Kuroda K, Makino S, Itakura A, Takeda S. Embrittlement of uterus after uterine artery embolization: a case of uterine perforation. Hypertens Res Pregnancy. 2016;4:42–4.CrossRefGoogle Scholar
  26. 26.
    Hughes CW. Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man. Surgery. 1954;36:65.PubMedGoogle Scholar
  27. 27.
    Dubois J, Garel L, Grignon A, Lemay M, Leduc L. Placenta percreta: balloon occlusion and embolization of the internal iliac arteries to reduce intraoperative blood losses. Am J Obstet Gynecol. 1997;176:723–6.CrossRefGoogle Scholar
  28. 28.
    Shih JC, Liu KL, Shyu MK. Temporary balloon occlusion of the common iliac artery: new approach to bleeding control during cesarean hysterectomy for placenta percreta. Am J Obstet Gynecol. 2005;193(5):1756–8.CrossRefGoogle Scholar
  29. 29.
    Ono Y, Murayama Y, Era S, Matsunaga S, Nagai T, Osada H, Takai Y, Baba K, Takeda S, Seki H. Study of the utility and problems of common iliac artery balloon occlusion for placenta previa with accreta. J Obstet Gynaecol Res. 2018;44:456–62.CrossRefGoogle Scholar
  30. 30.
    Wyrzykowski A. Trauma damage control. In: Mattox K, et al., editors. Trauma. 7th ed. New York: McGraw-Hill; 2013. p. 725–46.Google Scholar
  31. 31.
    Moore EE, et al. Staged physiologic restoration and damage control surgery. World J Surg. 1998;22:1184–90.CrossRefGoogle Scholar
  32. 32.
    Shapiro MB, et al. Damage control: collective review. J Trauma. 2000;49:969–78.CrossRefGoogle Scholar
  33. 33.
    Takeda S, Takeda J, Makino S. A minimally invasive hemostatic strategy in obstetrics aiming to preserve uterine function and enhance the safety of subsequent pregnancies. Hypertens Res Pregnancy. 2019;7(1):9–15.  https://doi.org/10.14390/jsshp.HRP2018-013.CrossRefGoogle Scholar
  34. 34.
    Takeda J, Takeda S. Management of disseminated intravascular coagulation associated with placental abruption and measures to improve outcomes. Obstet Gynecol Sci. 2019;62:299–306.  https://doi.org/10.5468/ogs.2019.62.5.299.CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Takeda J, Makino S, Takeda S. Chapter. Hemostasis for massive hemorrhage during cesarean section. In: Schmolzer G, editor. Cesarean delivery. London: IntechOpen.  https://doi.org/10.5772/intechopen.86394. Published: 3 Oct 2019.Google Scholar
  36. 36.
    Charoenkwan K. Effective use of the Bakri postpartum balloon for posthysterectomy pelvic floor hemorrhage. Am J Obstet Gynecol. 2014;210(6):586.e1–3.CrossRefGoogle Scholar
  37. 37.
    Charoenkwan K. Use of the Bakri postpartum balloon in a patient with intractable pelvic floor hemorrhage: when other methods failed to stop postcesarean bleeding, physicians tried something new. Am J Obstet Gynecol. 2013;209(3):277.e1–5.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Faculty of MedicineJuntendo UniversityBunkyo-kuJapan

Personalised recommendations