Tourniquet technique prevents profuse blood loss in placenta accreta cesarean section

Authors


Reprint request to: Dr Tomoaki Ikeda, Department of Obstetrics and Gynecology, Miyazaki Medical College, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-16, Japan. Email: tikeda44@hotmail.com

Abstract

Aim: Profuse bleeding in placenta accreta is life-threatening even under well-prepared cesarean sections.

Methods: We used a tourniquet technique to temporally shut off blood flow through the uterine and ovarian vessels at the level of the uterine cervix. The tourniquet consisted of manual compression followed by a rubber tube.

Results: Total blood loss in cesarean section and hysterectomy in the two cases in which we applied this technique was significantly reduced compared with that in the two cases without it.

Conclusion: This technique not only prevented massive bleeding from the accreted placentation, but also allowed physicians time to consider the necessity of subsequent hysterectomy.

Ancillary