Hemorrhage has always been a significant potential complication in the field of obstetrics and gynecology. Throughout the years, a variety of medical and surgical modalities aimed at controlling uterine hemorrhage have been developed. Most recently, these have focused on attempting to decrease the morbidity associated with obstetric and gynecologic hemorrhage. Specifically, the aim of recent developments has been to reduce the need for laparotomy and increase the likelihood of uterine preservation (and thus the preservation of fertility). The present review addresses the use of such interventions in a sequential manner for attaining hemostasis.
aPennsylvania Hospital, Philadelphia, Pennsylvania, and bStanford Endoscopy Center for Training and Technology, Stanford University Medical Center, Stanford, California, USA
Correspondence to Pantea Pahlavan, MD, Resident, Obstetrics and Gynecology, Pennsylvania Hospital, 336 Queen Street, Philadelphia, PA 19147, USA. Tel: +1 215 462 5310; e-mail: Pahlavan@mindspring.com