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  • Title: Management of difficult intra operative bleeding by abdominal packing: report of four cases.
    Author: Lassey AT, Ghosh TS, Wilson JB.
    Journal: East Afr Med J; 1995 Aug; 72(8):542-3. PubMed ID: 7588154.
    Abstract:
    Difficult perioperative bleeding in four obstetric and gynaecology patients was managed with temporising abdominal packs left in place with abdominal closure for 48-72 hours in order to avoid deaths on the operating table when blood loss could not be adequately replaced and hemostasis could not be secured. Abdominal re-opening to remove the packs was undertaken. Three of the patients were eventually discharged home after satisfactory recovery. The fourth died of sepsis three weeks after the fourth re-operation and bilateral internal iliac artery ligation. Abdominal packing thus has a place in the management and salvage of patients with difficult obstetric and gynaecologic perioperative bleeding.
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