Management of large paravaginal hematomas with the Zhukovsky vaginal catheter.
Zhukovsky uterine catheter
Zhukovsky vaginal catheter
hemostasis
labor
obstetric bleeding
paravaginal hematomas
rupture of the vaginal wall
volume of blood loss
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
revised:
07
04
2023
received:
11
11
2022
accepted:
09
05
2023
medline:
18
9
2023
pubmed:
29
5
2023
entrez:
29
5
2023
Statut:
ppublish
Résumé
To ameliorate the treatment of large paravaginal hematomas postpartum using the Zhukovsky vaginal catheter. A retrospective, controlled study including puerperas with large paravaginal hematomas. To assess the effectiveness of the proposed treatment, a group of patients underwent traditional obstetric surgery. A second group of puerperas underwent an integrated approach: the surgical stage (pararectal incision) and the application of the Zhukovsky vaginal catheter. The effectiveness of treatment was assessed according to the following criteria: blood loss volume and hospital admission time. In total, 30 puerperas were included in the study; 15 in each treatment group. Large paravaginal hematomas were reported most often in primiparas (50.0%), in 36.7% were combined with rupture of the vagina and the cervix, and in 10.0% of cases an episiotomy was performed during delivery. In 40.0% of primiparas, the blood loss volume was more than 1000 mL, whereas in multiparous and in multiple pregnancies, blood loss did not exceed 1000 mL (r = -0.49; P = 0.022). In 25.0% of puerperas with a blood loss of up to 1000 mL there were no obstetric injuries; in the group with a blood loss of more than 1000 mL, 83.3% of patients had obstetric injuries. An integrated approach reduced the blood loss volume (r = -0.22; P = 0.29), compared with the traditional surgery, and reduced the hospital admission time from 12 (11.5; 13.5) days to 9 (7.5; 10.0) days (P < 0.001). In patients with large paravaginal hematomas treated by an integrated approach we reported a decrease in bleeding, less risk of postoperative complications, and a reduction in the time of the hospital stay.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
148-153Informations de copyright
© 2023 International Federation of Gynecology and Obstetrics.
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