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Emergency pelvic packing to control intraoperative bleeding after a Piver type-3 procedure. An unusual way to control gynaecological hemorrhage

  • E. Cirese1
  • G. Larciprete2,*,

1Director of the Obstetrics and Gynaecology Dept., General Hospital, FBF Jmla Tiberina, Italy

2SMORRL-Medical School of Rome, Italy

DOI: 10.12892/ejgo20030199 Vol.24,Issue 1,January 2003 pp.99-100

Published: 10 January 2003

*Corresponding Author(s): G. Larciprete E-mail:

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Abstract

We report a case of gynaecologic haemorrhage after a Piver type-3 procedure treated by a packing technique. The postoperative course was uneventful and the packs were removed after six days. Intra-abdominal packing should be familiar to both obstetricians and gynecologists because when any other attempt to provide hemostasis fails, it can be the last successful way to control a life-threatening haemorrhage.

Keywords

Pelvic packing; Intraoperative bleeding; Piver type-3 procedure

Cite and Share

E. Cirese,G. Larciprete. Emergency pelvic packing to control intraoperative bleeding after a Piver type-3 procedure. An unusual way to control gynaecological hemorrhage. European Journal of Gynaecological Oncology. 2003. 24(1);99-100.

URL:

https://www.ejgo.net/articles/10.12892/ejgo20030199

References

[1] Piver M. S., Rutledge F., Smith J. P.: "Five classes of extended hysterectomy for women with cervical cancer". Obstet. Gynecol., 1974, 44 (2), 265.

[2] Shen G. K., Rappaport W.: "Control of nonhepatic intra-abdominal hemorrhage with temporary packing". Surg. Gynecol. Obstet., 1992, 174 (5), 411.

[3] Gonzalez R. P., Holevar M. R., Falimirski M. E., Merlotti G. J.: "A method for management of extraperitoneal pelvic bleeding secondary to penetrating trauma". J. Trauma, 1997, 43 (2), 338.

[4] Gyamfi C., Pietro P. A.. Medina C. A.: "Effectiveness of intraabdominal packing for intractable surgical hemorrhage in patients with disseminated intra vascular coagulation". Obstet. Gynecol., 2001, 97 (4 Suppl. 1), S62.

[5] Barksdale P. A., Elkins T. E., Sanders C. K., Jaramillo F. E., Gasser R. F.: "An anatomic approach to pelvic hemorrhage during sacrospinous ligament fixation of the vaginal vault". Obstet. Gynecol., 1998 , 91 (5 Pt I). 715.

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