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Related Concept Videos

Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

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A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
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Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

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A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Intestinal Obstruction II: Pathophysiology01:07

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Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
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Disorders of Hemostasis01:24

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Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
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Measurement of Blood Pressure01:17

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Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
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Updated: Apr 17, 2026

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

Published on: September 12, 2025

797

Obstetric hemorrhage.

Marc Van de Velde1, Christian Diez, Albert J Varon

  • 1aDepartment of Cardiovascular Sciences, KU Leuven and Department of Anesthesiology, UZ Leuven, Leuven, Belgium bDivision of Trauma Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida, USA.

Current Opinion in Anaesthesiology
|February 13, 2015
PubMed
Summary
This summary is machine-generated.

Obstetric hemorrhage management requires a stepwise approach, starting with manual and pharmacologic methods. Escalating interventions like balloon tamponade, sutures, embolization, or hysterectomy are used for refractory postpartum hemorrhage.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Surgical Management

Background:

  • Obstetric hemorrhage is a leading cause of maternal morbidity and mortality worldwide.
  • Effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

  • To review current literature on the management of obstetric hemorrhage.
  • To outline a stepwise approach for managing postpartum hemorrhage.

Main Methods:

  • Literature review of obstetric hemorrhage management.
  • Analysis of stepwise interventions for postpartum hemorrhage.

Main Results:

  • First-line treatments include manual and pharmacologic interventions.
  • Second-line options for refractory postpartum hemorrhage include balloon tamponade, compression sutures, radiological embolization, pelvic devascularization, and hysterectomy.
  • Pelvic arterial embolization is increasingly used to avoid hysterectomy, with prophylactic use under investigation.

Conclusions:

  • A stepwise, progressive approach is optimal for managing postpartum hemorrhage.
  • Thorough preparation and consultant coordination can improve outcomes.
  • Hysterectomy should be reserved for the most severe, intractable cases.