Arch Gynecol Obstet (2017) 296:613–614 DOI 10.1007/s00404-017-4475-9 CORRESPONDENCE Prophylactic use of Bakri balloon for reduction of hemorrhage at cesarean for placenta previa: addition and clarification Shigeki Matsubara Received: 28 June 2017 / Accepted: 21 July 2017 / Published online: 26 July 2017 © Springer-Verlag GmbH Germany 2017 Dear Editor, prompting careful needle movement at hysterotomy clo- sure, and (2) the presence of water signifies balloon rup - Soyama and colleagues demonstrated that “universal” “pro- ture. In my experience, 50-mL inflation never hinders phylactic” Bakri balloon placement for cesarean section smooth hysterotomy closure. (CS) for placenta previa (PP) significantly reduced hem - Third, “smooth insertion” of the Bakri balloon requires orrhage . Our team has also been employing a similar some contrivances in certain cases. In PP, the cervix is strategy. I have some additions/clarifications. usually closed/narrow. In some cases, the end of the Bakri First, their concept of “universal” “prophylactic” balloon shaft may “coil up”, preventing its smooth insertion. This is usage is reasonable for the following reasons. First, in PP, due to the pliant nature of the Bakri balloon. As previously postpartum hemorrhage sometimes occurs even in patients described [3–5], a 26-French Nelaton transurethral rubber in whom hemostasis was achieved during CS. I believe
Archives of Gynecology and Obstetrics – Springer Journals
Published: Jul 26, 2017
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