The use of Zhukovsky vaginal and intrauterine balloons to improve the outcome of postpartum hysterectomies in patients with severe bleeding.

Abstract

Aim: To assess the efficacy of a Zhukovsky obstetric double balloon for improving outcomes in women undergoing hysterectomy for postpartum hemorrhage.Materials and methods: This was a randomized controlled study. Participants were divided into two groups to undergo insertion of a Zhukovsky obstetric double balloon prior to hysterectomy (n = 16) or conventional hysterectomy (n = 25).Results: The main reasons for major obstetric hemorrhage were placenta accreta (53.6%), uterine atony (26.8%), uteroplacental apoplexy (14.6%), and amniotic fluid embolism (4.8%). The use of a Zhukovsky obstetric double balloon during postpartum hysterectomy was associated with a 1.7-fold reduction in blood loss and a 2.3-fold reduction in blood loss > 2000 ml compared with conventional hysterectomy.Conclusion: The use of a Zhukovsky obstetric double balloon represents a potent tool for improvement of immediate outcomes of hysterectomy in women with severe postpartum bleeding.

• Authors: Sergey V Barinov, Irina V Medjannikova, Yuliya I Tirskaya, Vladimir D Chuprinin, Elena G Khilkevich, Irina V Savelyeva, Inna V Shamina, Anna V Borisova, Oksana V Lazareva
• Journal: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians (J Matern Fetal Neonatal Med) Vol. 33 Issue 17 Pg. 2955-2960 (Sep 2020) ISSN: 1476-4954 [Electronic] England
• PMID: 30614315 (Publication Type: Journal Article, Randomized Controlled Trial)

Topics

• Cesarean Section
• Female
• Humans
• Hysterectomy
• Placenta Accreta (surgery)
• Postpartum Hemorrhage (surgery)
• Postpartum Period
• Pregnancy
• Retrospective Studies
• Uterine Inertia (surgery)