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Related Experiment Video

Updated: Jun 27, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Uterine necrosis following selective embolization for postpartum hemorrhage using absorbable material.

Lauréne Coulange1, Noémie Butori, Romaric Loffroy

  • 1Department of Gynecology and Obstetrics, University of Dijon School of Medicine, Bocage Teaching Hospital, Dijon cedex, France.

Acta Obstetricia Et Gynecologica Scandinavica
|December 18, 2008
PubMed
Summary

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Uterine artery embolization using resorbable materials effectively treats postpartum hemorrhage. However, rare cases of uterine necrosis occurred even with resorbable gelatin particles, indicating a need for careful consideration.

Area of Science:

  • Reproductive medicine
  • Vascular interventions
  • Gynecologic surgery

Background:

  • Postpartum hemorrhage (PPH) is a leading cause of maternal mortality.
  • Uterine artery embolization (UAE) is a recognized treatment for PPH.
  • Resorbable materials are increasingly used for embolization.

Observation:

  • Two exceptional cases of uterine necrosis following UAE are presented.
  • Gelatin particles, a resorbable embolic agent, were used in both cases.
  • Conservative treatment failed in both reported instances.

Findings:

  • Uterine necrosis is a rare but serious complication of UAE.
  • The use of resorbable gelatin particles was associated with uterine necrosis in these cases.
  • Previous reports of uterine necrosis primarily involved non-resorbable particles.

Related Experiment Videos

Last Updated: Jun 27, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Implications:

  • These findings highlight a potential risk associated with gelatin particle embolization for PPH.
  • Further investigation into the safety and efficacy of resorbable embolic agents is warranted.
  • Clinicians should be aware of this potential complication when performing UAE for PPH.