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Successful perioperative management with damage control surgery following cardiac arrest due to massive postpartum hemorrhage: A case report

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Author(s)
Chan Hee ParkJin Gon BaeJeong Woo Lee
Keimyung Author(s)
Park, Chan HeeBae, Jin GonLee, Jeong Woo
Department
Dept. of Surgery (외과학)
Dept. of Obstetrics & Gynecology (산부인과학)
Journal Title
Medicine (Baltimore)
Issued Date
2023
Volume
102
Issue
39
Abstract
Introduction:
Although declining, maternal mortality due to postpartum hemorrhage (PPH) remains significant. Here we report the case of a 31-year-old primipara patient admitted with cardiac arrest due to PPH.

Case presentation:
Labor was induced at gestational week 39, and the infant was delivered rapidly. Cardiac arrest due to PPH occurred during the transfer to our hospital, and the patient underwent cardiopulmonary resuscitation upon arrival to the emergency room. On admission, her hemoglobin level was 0.7 g/dL and she was in hypovolemic shock. Resuscitation and hysterectomy were performed immediately, including damage control surgery and gauze packing, to control the diffuse oozing bleeding due to severe disseminated intravascular coagulation. Relaparotomy for hemostasis was subsequently performed because of a decrease in hemoglobin level and blood pressure, and gauze packing was reinserted with temporary abdominal closure. Two days later, the abdominal wall was closed after confirming the absence of bleeding and the patient recovered well without further intervention.

Conclusion:
A prompt and assertive intensive response through collaborative efforts, utilizing feasible damage control surgery, can elegantly salvage uncontrolled bleeding in PPH patients with disseminated intravascular coagulation.
Keimyung Author(s)(Kor)
박찬희
배진곤
이정우
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
1536-5964
Source
https://journals.lww.com/md-journal/fulltext/2023/09290/successful_perioperative_management_with_damage.52.aspx
DOI
10.1097/MD.0000000000035450
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45278
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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