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Title Gynecologic and obstetric prophylactic hemostasis by intra-arterial balloon occlusion / Satoru Takeda, Ryohei Kuwatsuru, editors
Published Singapore : Springer, 2018


Description 1 online resource
Contents Intro; Preface; Contents; 1: Anatomy of Uterine Blood Supply and the Prevention of Massive Hemorrhage; 1.1 Introduction; 1.2 Anatomy; 1.3 Prophylaxis of Bleeding by Uterine Artery Embolization; References; 2: Application and Methods of the Arterial Balloon Occlusion for the Prophylaxis of Massive Hemorrhage in Gynecologic Fields; References; 3: Application and Methods of Arterial Embolization for Prophylaxis and Treatment of Massive Hemorrhage in Obstetric Fields; 3.1 Introduction; 3.2 Preoperative Evaluation; 3.3 Transcatheter Arterial Embolization
3.4 Artery Blockage with Balloon Catheter3.4.1 Preventive Blockage with Balloon Catheter; 3.4.2 Emergency Artery Blockage with Balloon Catheter; 3.5 Postoperative Outcome and Complications; References; 4: Temporary Endovascular Balloon Occlusion of the Internal Iliac Arteries to Prevent Hemorrhage During Uterine Cervical Myomectomy; 4.1 Introduction; 4.2 Methods; 4.2.1 Indication and Preparation; 4.2.2 Insertion of the Balloon Catheters; 4.2.3 Surgical Procedure; 4.3 Outcomes to Date; 4.3.1 Operative Variables; 4.3.2 Operative and Immediate Postoperative Course
4.3.3 Late Outcomes4.3.4 Fertility Results; 4.4 Case: Huge Uterine Cervical Myoma; References; 5: Temporary Arterial Balloon Occlusion for Obstetrical Field; 5.1 Indication; 5.2 Route; 5.3 Practical Aspects of the Procedure; 5.4 Case: Placenta Previa; References
Summary This book offers a highly informative guide to interventional radiology such as arterial embolization and arterial balloon occlusion for the prevention of massive hemorrhage and management of cervical myomectomy and cesarean hysterectomy. Recently, catheter intervention for hemostasis in obstetric patients has been increasingly used. Before myomectomy of large cervical leiomyoma or cesarean hysterectomy for placenta percreta with expected massive hemorrhage, a balloon occlusion catheter is inserted into arteries. In cesarean hysterectomy operations, ligation of internal iliac artery is not always effective in hemostasis of uterine bleeding: the success rate is about 40 -60%. Uterine blood flow during pregnancy is much different from that in non-pregnant women because large numbers of complicated collateral arteries develop during pregnancy, especially in patients with placenta previa. If the internal iliac artery and hypogastric artery are ligated, peripheral blood flow is still maintained, which causes intraoperative problems. The authors argue that effective transcatheter balloon occlusion requires a detailed knowledge of blood flow in both pregnant and non-pregnant women. As such the book provides extensive, detailed anatomical figures and videos offer readers vivid insights into methods of intercepting the uterine blood supply and the surgical methods. The book offers a new and indispensable reference guide for all obstetricians, not only for residents, but also for experienced professionals. It is also a valuable resource for radiologists and radiological technicians and radiology specialists
Notes Online resource; title from PDF title page (SpringerLink, viewed August 8, 2018)
Subject Uterine hemorrhage -- Surgery
Hemostasis, Surgical.
Generative organs, Female -- Surgery.
Hemostasis, Surgical
Gynecologic Surgical Procedures
Gynaecology & obstetrics.
MEDICAL -- Gynecology & Obstetrics.
Generative organs, Female -- Surgery
Hemostasis, Surgical
Form Electronic book
Author Tak, Satoru, editor
Kuwatsuru, Ryohei, editor
ISBN 9789811088339