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Uterine Healing after Therapeutic Intrauterine Administration of TachoSil (Hemostatic Fleece) in Cesarean Section with Postpartum Hemorrhage Caused by Placenta Previa
Joint Authors
Petersen, Lone Kjeld
Dueholm, Margit
Fuglsang, Katrine
Stæhr-Hansen, Estrid
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Application of hemostatic fleece (TachoSil) directly onto the bleeding surfaces of the lower uterine segment has been used to obtain hemostasis during cesarean section caused by placenta previa.
Methods.
Eleven of 15 patients treated with TachoSil for excessive postpartum haemorrhage due to placenta previa were enrolled.
An evaluation of the cesarean section scar by transvaginal ultrasound, the uterine cavity and endometrium by hysteroscopy, and the endometrium by biopsy were made.
The main outcome measures were intrauterine adhesions, recovery of endometrium at the site of TachoSil application, visible remnants of TachoSil, and scar healing.
Results.
Eight patients had small remnants of TachoSil in the uterine cavity together with signs of resorption.
All had a normal endometrial mucosa, and none had adhesions in the uterine cavity.
All cesarean section scars were healed without defects.
Conclusion.
TachoSil did not seem to impair healing of the endometrium or scar formation in the uterus after intrauterine application.
Resorption of TachoSil seems to progress individually.
Intrauterine treatment with TachoSil is a valuable supplement to the traditional treatment of post partum haemorrhage and may help retain reproductive capability.
This is a small study, and it will require more studies to confirm the reproducibility.
American Psychological Association (APA)
Fuglsang, Katrine& Dueholm, Margit& Stæhr-Hansen, Estrid& Petersen, Lone Kjeld. 2012. Uterine Healing after Therapeutic Intrauterine Administration of TachoSil (Hemostatic Fleece) in Cesarean Section with Postpartum Hemorrhage Caused by Placenta Previa. Journal of Pregnancy،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-486976
Modern Language Association (MLA)
Fuglsang, Katrine…[et al.]. Uterine Healing after Therapeutic Intrauterine Administration of TachoSil (Hemostatic Fleece) in Cesarean Section with Postpartum Hemorrhage Caused by Placenta Previa. Journal of Pregnancy No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-486976
American Medical Association (AMA)
Fuglsang, Katrine& Dueholm, Margit& Stæhr-Hansen, Estrid& Petersen, Lone Kjeld. Uterine Healing after Therapeutic Intrauterine Administration of TachoSil (Hemostatic Fleece) in Cesarean Section with Postpartum Hemorrhage Caused by Placenta Previa. Journal of Pregnancy. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-486976
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486976