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Korean Journal of Obstetrics & Gynecology 2006;49(11):2266-2276.
Published online November 1, 2006.
Effectiveness of Sengstaken-Blankemore tube to control postpartum hemorrhage.
An Na Nam, Kyong Jin Kim, Byoung Woo Jang, Seung Eun Hur, Seong Ki Lee, Ki Hyun Kil, Mi Jin Ahn, Ji Young Lee
Department of Obstetrics and Gynecology, University of Konyang College of Medicine, Deajeon, Korea. kjkim@kyuh.co.kr
Abstract
OBJECTIVE
To evaluate the effectiveness and identify the role of interventional procedure of tamponade treatment with modified Sengstaken-Blankemore (S-B) tube on control of postpartum hemorrhage (PPH) unresponsive to conventional medical treatment. METHODS: This study was performed retrospectively on the clinical records of 90 patients who had experienced PPH at the department of Obstetrics and Gynecology of OO University Hospital from February, 2000 to September, 2005. We have actively applied tamponade balloon since 2004. As a result, tamponade balloon were applied to 17 patients. Medical records were reviewed such as clinical status, cause of bleeding, volume of balloon, duration of balloon, complication, success rate and additional treatment. RESULTS: We have overall success rate of tamponade balloon in 11 (64.7%) of 17 patients of PPH. The causes of bleeding were subinvolution of uterus (100%), uterine atony (80%) and abnormal placentation (20%) in order of success rate. There was no major complication related to the tamponade procedure. We had compared final treatment during two period (before tamponade use v.s after tamponade use). 15 (33.3%) received invasive procedure and 8 (17.8%) received hysterectomy before tamponade use. However 10 (22.2%) received invasive procedure and just 1 (2.2%) received hysterectomy after tamponade use. CONCLUSION: Tamponade with modified S-B tube is effective on PPH unresponsive to conventional medical treatment and cuts down additional invasive procedure when tamponade treatment failed.
Key Words: Modified Sengstaken-Blankemore tube, Tamponade balloon, Postpartum hemorrhage


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