TY - JOUR
TI - The Bolbos technique for the management of uncontrollable intra-caesarean uterine bleeding
AU - Bolbos, G.
AU - Sindos, M.
JO - Archives of Gynecology and Obstetrics
PY - 2005
VL - 272
TODO - 2
SP - 142-144
PB - 
SN - 0932-0067, 1432-0711
TODO - 10.1007/s00404-004-0685-z
TODO - article;  cesarean section;  conservative treatment;  controlled study;  female;  human;  ligation;  medical assessment;  myometrium;  reproducibility;  surgical technique;  uterus bleeding, Adult;  Blood Loss, Surgical;  Cesarean Section;  Female;  Hemostasis, Surgical;  Humans;  Intraoperative Care;  Male;  Postpartum Hemorrhage;  Suture Techniques
TODO - Objective: We describe a new conservative surgical technique for the management of intra-operative post-caesarean bleeding. Methods: This technique involves the application of ligation sutures to the main branches of the right and left uterine arteries at the level of the lower segment transverse uterine incision and a constriction suture to the lower segment of the posterior uterine wall. Results: We have used this method in nine cases and it was effective in controlling the bleeding in eight, thus avoiding the need for a more extensive procedure. Conclusion: If medical management fails to control intra-operative post-caesarean bleeding, conservative surgery or even a caesarean hysterectomy may be required. Our technique is presented as a safe, simple, effective and readily reproducible alternative. Also, its effectiveness can be promptly assessed and if the bleeding persists, another, more complex procedure can be performed. © Springer-Verlag 2005.
ER -