Laparoscopic Bipolar Coagulation of Hypogastric Artery in Po
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Introduction
Death as a consequence of pregnancy remains an important cause of premature mortality worldwide. An estimated 500,000 women die from this potentially preventable cause each year, with up to an estimated quarter of these deaths occurring as a consequence of haemorrhage. Although the majority of these deaths occur in low income countries, several recent publications have noted an increasing trend in the incidence of postpartum haemorrhage (PPH) over time in high resource countries.

Causes of PPH can be uterine (atony, retained placental products, abnormal placentation, lacerations, uterine inversion, and rupture) or nonuterine (lower genital tract lacerations, coagulopathy). More than 90% of PPH is uterine related.

The management of PPH includes a stepwise approach which starts with the exclusion of retained products and genital tract trauma. Uterine atony, which is the most common cause, is dealt with uterine rubbing and various uterotonic drugs.

When PPH continues despite aggressive medical treatment, early consideration should be given to surgical intervention.

The aim of this case report is to describe our recent experience with laparoscopic coagulation of hypogastric artery in a woman with PPH after vaginal delivery.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335507/
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