Pelvic packing in a treatment of severe postpartum posthysterectomiam hemorrhage

Abstract

INTRODUCTION

Pelvic packing (PP) as a simple method of "damage control surgery" in severe abdominopelvic hemorrhage in gynecological and obstetric surgery after emergency obstetrics or gynecological hysterectomy.

AIM

To present the case of successful PP, as a simple and effective methods in refractory pelvic bleeding after emergent peripartum hysterectomy and severe obstetric shock with consumptive coagulopathy.

CASE REPORT

According to laboratory findings and clinical condition in a thirty-year-old (G2 P2) parturient , it was most likely an obstetric embolism with uterine rupture as the cause of severe postparum hemorrhage with disseminated intravascular coagulopathy and obstetrics hemorrhagic shock development in described case . P elvic packing after postpartum hysterectomy was the definitive minimally invasive and simple hemostatic procedure.

CONCLUSION

The use of pelvic packing and obstetrics skills should be included in the protocol as a necessary, life-saving, and uncomplicated vital indication procedure.