| Tisseel for management of traumatic postpartum haemorrhage. | |
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MedLine Citation:
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PMID: 18985368 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Following the introduction of haemostatic agents, new opportunities are available when facing problematic bleeding. We report the first case of traumatic postpartum hemorrhage successfully controlled with a fibrin sealant. CASE PRESENTATION: 26-year nulliparous patient had a rotational forceps delivery and developed multiple vaginal lacerations. Haemostasis could not be achieved after suturing, vaginal packing and IV tranaxemic acid. She lost approx. 3,500 ml blood and received 4 U transfusion. Tisseel was used as a thin layer on vaginal wall and bleeding settled. She had good recovery and perineum healed well. CONCLUSION: Tisseel consists of a two-component fibrin biomatrix to stop diffuse bleeding. When the tissues are very oedematous, it can be difficult to insert sutures. We tried this innovative option with very effective results. The absence of long-term complications is reassuring and we recommend its use in similarly extreme situations. |
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Authors:
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Jaya Saxena Dhulkotia; M Alazzam; A Galimberti |
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Publication Detail:
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Type: Case Reports; Letter Date: 2008-11-05 |
Journal Detail:
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Title: Archives of gynecology and obstetrics Volume: 279 ISSN: 1432-0711 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-01-26 Completed Date: 2009-04-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: Germany |
Other Details:
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Languages: eng Pagination: 437-9 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Fibrin Tissue Adhesive / therapeutic use* Humans Postpartum Hemorrhage / therapy* Pregnancy |
| Chemical | |
Reg. No./Substance:
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0/Fibrin Tissue Adhesive |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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