Damage-control surgery for obstetric hemorrhage

Luis Pacheco, M. James Lozada, George Saade, Gary Hankins

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Damage-control surgery (abdominopelvic packing followed by a period of medical stabilization in the intensive care unit) is a life-saving intervention usually reserved for critically injured patients who may not survive an attempt to achieve hemostasis and complete repair of the damage in the operating room. Most obstetricians have little or no experience in this area, although the use of damage-control surgery in selected cases may be life-saving. This approach should be considered when arterial bleeding has been controlled and persistent bleeding is deemed to be secondary to coagulopathy that is refractory to blood product replacement, particularly in the presence of hypothermia, acidosis, and vasopressor requirement. A prototypical (albeit hypothetical) case is described here in which damage-control surgery is indicated.

Original languageEnglish (US)
Pages (from-to)423-427
Number of pages5
JournalObstetrics and Gynecology
Volume132
Issue number2
DOIs
StatePublished - Jan 1 2018

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ASJC Scopus subject areas

  • Obstetrics and Gynecology

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