Evaluation of Efficacy and Safety of Topical Hemostatic Agents in controlling Obstetric and Gynecologic Hemorrhage | ||
| Benha Medical Journal | ||
| Article 17, Volume 41, Issue 1, March and April 2024, Pages 177-187 PDF (1.19 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2024.265732.2005 | ||
| Authors | ||
| Hatem Elgendy Abd Elsalam1; Nabil Elorabi2; Elham Ahmed Elassas* 3; Yousef Abdel Zaher4 | ||
| 1Obstetrics and Gynecology department,benha faculty of medicine | ||
| 2Professor of Obstetrics and Gynecology Faculty of Medicine - Benha University | ||
| 3Department of Gynae & Obstetric-Faculty of Medicine-Benha University | ||
| 4Assistant Professor of Obstetrics and Gynecology Faculty of Medicine - Benha University | ||
| Abstract | ||
| ABSTRACT Background: Intraoperative hemorrhage remains a major concern of surgery in obstetrics and gynecology. Morbidity can be severe, resulting in increased transfusion rates, hospital stay, cost and rarely mortality. Aim of the Work: the study aims to assess the efficacy and safety of topical hemostatic agents in different causes of bleeding in obstetrics and gynecology as post-partum hge, myomectomy, and ectopic pregnancy. Patients & Methods: This study was carried out on 60 female patients divided into 2 groups. Group 1: Patients with PPH, myomectomy operation, and ectopic, who have bleeding during surgery who and given the usual management protocol of a university hospital plus the use of a THA (gel foam) Group 2: Patients with PPH, myomectomy operation, and ectopic and given the usual management protocol. Results: Those technically simple procedures such as the use of Gel foam at the bleeding sites should have priority in cases of PPH, Myomectomy and Ectopic pregnancy because they are effective, reliable, and can be performed under easy instructions and by less trained personnel. In this study, Hemoglobin level was much greater in group A than in group B, per post-operative data (p-value = 0.05). Conclusion: The study's findings, imply that topical hemostatic agents would help to treat intraoperative bleeding in patients who have had myomectomy, ectopic pregnancy, or postpartum hemorrhage. When compared to the standard code red management procedure alone. | ||
| Keywords | ||
| Keywords: Topical Hemostatic; control; Hemorrhage; Obstetric | ||
|
Statistics Article View: 136 PDF Download: 245 |
||
