Step 1
1. Perform manual reversion of the uterus (Perform under general anesthesia or wait for the effects of uterotonics to wear off)
In case of failure
Step 2
1. Perform laparotomy - uterine inversion
In case of failure
Step 3
Surgical intervention (gradual devascularization of the uterus)
- Gradual ligation of aa. uterinae and aa. ovaricae
- Uterine compression sutures
- Ligament aa. iliacae internae
Hysterectomy in a woman of childbearing age is a major intervention that will significantly affect her future life. We approach hysterectomies very carefully and individually.
Indications for a Hysterectomy:
• Continued uterine bleeding when previous measures have failed and all available options (pharmacological and surgical) have been exhausted
• Placenta accreta spectrum when clinical findings do not allow conservative surgical management
• Devastating uterine injury
• When the uterus is suspected as a cause of sepsis
Surgical interventions are performed with i.v. ATB administration.
1. Perform manual reversion of the uterus (Perform under general anesthesia or wait for the effects of uterotonics to wear off)
In case of failure
Step 2
1. Perform laparotomy - uterine inversion
In case of failure
Step 3
Surgical intervention (gradual devascularization of the uterus)
- Gradual ligation of aa. uterinae and aa. ovaricae
- Uterine compression sutures
- Ligament aa. iliacae internae
Hysterectomy in a woman of childbearing age is a major intervention that will significantly affect her future life. We approach hysterectomies very carefully and individually.
Indications for a Hysterectomy:
• Continued uterine bleeding when previous measures have failed and all available options (pharmacological and surgical) have been exhausted
• Placenta accreta spectrum when clinical findings do not allow conservative surgical management
• Devastating uterine injury
• When the uterus is suspected as a cause of sepsis
Surgical interventions are performed with i.v. ATB administration.