Surgical Remedies for Postpartum HemorrhagePORRECO, RICHARD P. MD*; STETTLER, ROBERT W. MD†Clinical Obstetrics and Gynecology: March 2010 - Volume 53 - Issue 1 - p 182-195 doi: 10.1097/GRF.0b013e3181cc4139 Postpartum Hemorrhage Abstract Author Information When medical therapy is unsuccessful, surgical approaches to postpartum hemorrhage are often considered. These may include uterine curettage, laceration repair, balloon tamponade, compressive suture techniques, uterine or hypogastric artery ligation, and ultimately hysterectomy. A systems approach to the care of these patients includes identification of rapid response teams, assessment of risk factors, and the timely and knowledgeable use of blood and blood products. Comprehensive care of patients with massive obstetric hemorrhage will improve the outcome of this largely preventable cause of maternal mortality. *Presbyterian/St. Luke's Medical Center, Denver †SkyRidge Medical Center, Lone Tree, Colorado Correspondence: Richard P. Porreco, MD, Obsetrix Medical Group of Colorado, 1601 E. 19th Avenue Suite 5050, Denver, CO. E-mail: Richard_porreco@pediatrix.com © 2010 Lippincott Williams & Wilkins, Inc.