Uterine atony after closure of uterus: to react
or to ignore the atony at Theatre?? If we cross a busy road and see a car is
coming very fast what we do we don’t take risk. Instead we wait till the high
speed car crosses my way. Then and then only we cross the busy road. Uterine
atony after closure of uterus is not an uncommon finding or should I say a nuisance.
How best to deal with such a situation even if O T Sister affirms that there is
no active bleeding PV. There are several options: Option A) No active addle
step taken-just close as sister has assured U abd U have patiently waited for 5
minutes before U closed the abdomen. Option B) I V or I M methergin (methyl
ergometrine) Option 3:-Intra myometrial prostaglandins Option 4:-To put Prof B
Lynch Compression suture.-may be one or two. Whether to put B Lynch suture by Char
catgut No 1(viral will cut through) or not?? .I had the misfortune to perform
about 500 Obstet hysterectomies during my active life say 1966 to 2015 for
variety reasons. For details Pl see my blog See my Blog “(PROF.) DR. SRIMANTA
KUMAR PAL (SENIOR GYNECOLOGIST).” I had the misfortune of carrying out about
500 Obstet Hits. (1966-2015. .In fact I am a great fan of putting B Lynch compression
stitches and due to my forwardness I don’t like my patient back from
ward/recovery Room to Theater again for contd PPH due to atony and pack the
uterine cavity or put Balloon. Your opinion please.
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