Arch Gynecol Obstet (2017) 296:615 DOI 10.1007/s00404-017-4476-8 CORRESPONDENCE Response to letter to the editor “Prophylactic use of Bakri balloon for reduction of hemorrhage at cesarean for placenta previa: addition and clarification” 1 1 1 Hiroaki Soyama · Morikazu Miyamoto · Kenichi Furuya Received: 16 July 2017 / Accepted: 21 July 2017 / Published online: 26 July 2017 © Springer-Verlag GmbH Germany 2017 Dear Editor, balloon in placenta previa during a cesarean section is effective for the reduction of both intraoperative and post - We appreciate the opportunity to address the comments and partum hemorrhage. concerns expressed by Dr. Matsubara. In particular, among Author contribution HS: manuscript writing. MM: manuscript the suggestions made, we need to take measures to prevent editing. KF: supervise. balloon prolapse. Actually, 10% of cases experienced balloon prolapse Compliance with ethical standards in our study . Fortunately, postpartum hemorrhage was controlled in all cases, by re-insertion of the Bakri balloon Conflict of interest The authors declare no conflict of interest. without additional hemostatic measures. However, we were Ethical approval This article does not contain any studies with concerned about the potential need to manage a difficult human participants or animals performed by any of the authors. case through re-insertion of a Bakri balloon during and after cesarean section. Furthermore, the most important point is prevention of a balloon prolapse. Dr. Matsubara suggested a “holding the cervix technique”, using a sponge References forceps to close the cervix and prevent balloon prolapse 1. Soyama H, Miyamoto M, Sasa H, Ishibashi H, Yoshida M, after cesarean section and a “fishing method”, in which the Nakatsuka M et al (2017) Effect of routine rapid insertion of balloon is held by a thread to prevent balloon prolapse dur- Bakri balloon tamponade on reducing hemorrhage from placenta ing cesarean section. These simple methods are noninva- previa during and after cesarean section. Arch Gynecol Obstet. sive, innovative [2, 3], and may resolve our most concern- doi:10.1007/s00404-017-4446-1 (early view) 2. Matsubara S, Baba Y, Takahashi H (2015) Preventing a Bakri ing problem. balloon from sliding out during “holding the cervix”: “fishing for We thank Dr. Matsubara for the interest in our original the balloon shaft” technique (Matsubara). Acta Obstet Gynecol article. We will consider applying these methods in the Scand 94:910–911 future study. We believe that prophylactic use of a Bakri 3. Matsubara S, Baba Y, Morisawa H, Takahashi H, Lefor AK (2016) Maintaining the position of a Bakri balloon after cae- sarean section for placenta previa using an abdominal traction stitch. Eur J Obstet Gynecol Reprod Biol 198:177–178 * Hiroaki Soyama firstname.lastname@example.org Department of Obstetrics and Gynecology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan Vol.:(0123456789) 1 3
Archives of Gynecology and Obstetrics – Springer Journals
Published: Jul 26, 2017
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