2016, Number 12
Ginecol Obstet Mex 2016; 84 (12)
Effective control of obstetric postpartum hemorrhage employing selective uterine vascular ligation. “Posadas” technique description
Posadas-Nava A, Moreno-Santillán AA, Celis-González C, Cruz-Martínez E
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ABSTRACTObjetive: To describe a new surgical method, the “Posadas” Technique which consists in the posterior ligation of the uterine artery and the tubo-ovarian artery. This technique certainly upgrades the management of PPH, reduces the rate of hysterectomy and helps preserve subsequent fertility.
Conclusion: Postpartum hemorrhage (PPH) is the major cause of maternal death worldwide. It is an obstetric emergency that requires a skillful obstetrician to treat it. Initial management is essential to control bleeding and to avoid complications. If the usual methods fail to stop the hemorrhage, surgery is inevitable. Many surgical techniques have been employed to stop intractable postpartum hemorrhaging. Technically simple hemostatic procedures have proved to be fast, safe, economical and highly efficient. Bilateral ligation of the ascending branches of the uterine artery has been reported by multiple authors as a simple, safe, effective and life-saving alternative in the management of uncontrollable obstetric hemorrhage. The Posadas technique combines the best of the other methods, its main quality is simple, rapid, practical and reproducible method.