Is uterine-sparing surgical management of persistent postpartum hemorrhage truly a fertility-sparing technique?

被引:17
|
作者
Blanc, Julie [1 ]
Courbiere, Blandine [2 ,3 ]
Desbriere, Raoul [1 ]
Bretelle, Florence [1 ,3 ]
Boubli, Leon [1 ,3 ]
d'Ercole, Claude [1 ,3 ]
Carcopino, Xavier [1 ,3 ]
机构
[1] Hop Nord Marseille, APHM, Serv Gynecol Obstet, F-13915 Marseille 20, France
[2] Hop Conception, APHM, Serv Gynecol Obstet, Marseille, France
[3] Univ Mediterranee, Fac Med Marseille, Marseille, France
关键词
Fertility; hysteroscopy; postpartum hemorrhage; pregnancy; surgery; B-LYNCH; PREGNANCY; LIGATION; SUTURE; DEVASCULARIZATION;
D O I
10.1016/j.fertnstert.2011.01.021
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Among 23 women who underwent diagnostic hysteroscopy after triple uterine artery ligation with or without hemostatic multiple square suturing for the management of postpartum hemorrhage (PPH), five had abnormal findings. Endometritis was statistically significantly associated with abnormal diagnostic hysteroscopy findings. Twelve patients developed subsequent pregnancies, and four had abnormal obstetric outcomes: one placenta percreta, one placenta accreta, one recurrent postpartum hemorrhage, and one intrauterine growth retardation. (Fertil Steril (R) 2011; 95: 2503-6. (c) 2011 by American Society for Reproductive Medicine.)
引用
收藏
页码:2503 / 2506
页数:4
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