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Updated: Jul 15, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Cesarean delivery in the interventional radiology suite: a novel approach to obstetric hemostasis
Nollag O'Rourke1, Thomas McElrath, Richard Baum
1Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. nmorourke@partners.org
Background:
The adjunctive use of interventional radiology procedures to minimize and control bleeding at the time of cesarean delivery has become increasingly common. These procedures require modern imaging equipment and supplies not available in traditional operating rooms.
Methods:
We describe three women who strongly desired continued reproductive function in clinical circumstances where postpartum hemorrhage and hysterectomy were likely.
Results:
Cesarean delivery was performed in the interventional radiology suite after selective uterine artery balloon placement and/or embolotherapy, which successfully minimized blood loss during delivery.
Conclusion:
We propose that this novel surgical location is feasible, and may offer advantages in select patients.
