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An effective pressure pack for severe pelvic hemorrhage
Gary A Dildy1, James R Scott, Craig S Saffer
1Department of Obstetrics and Gynecology, Louisiana State University School of Medicine, New Orleans, Louisiana, USA. Gary.Dildy@HCAhealthcare.com
Obstetrics and Gynecology
|November 2, 2006
Summary
The pelvic pressure pack is an effective surgical technique for controlling severe post-hysterectomy bleeding, successfully managing bleeding in 82% of cases. This method also aids in correcting coagulopathy, though febrile morbidity is common.
Area of Science:
- Obstetrics and Gynecology
- Surgical Techniques
Background:
- Post-hysterectomy bleeding is a significant clinical challenge.
- Effective hemorrhage control is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the efficacy and experience with the pelvic pressure pack for managing post-hysterectomy bleeding.
Main Methods:
- Observational descriptive case series (1968-2006).
- Pelvic pressure packs constructed from various materials and filled with gauze rolls.
- Packs introduced abdominally and exited vaginally.
Main Results:
- 11 cases (10 obstetric, 1 gynecologic) reported.
- Pelvic pressure pack controlled bleeding in 82% (9/11) of cases.
- All cases required red blood cell transfusion and had coagulopathy; no maternal deaths occurred.
Conclusions:
- The pelvic pressure pack is a valuable surgical option for post-hysterectomy bleeding.
- It aids in coagulopathy correction and patient stabilization.
- Prophylactic antibiotics are recommended due to high rates of febrile morbidity.
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