Evaluation of Efficacy and Safety of Topical Hemostatic Agents in controlling Obstetric and Gynecologic Hemorrhage

Abd Elsalam, Hatem Elgendy; Elorabi, Nabil; Elassas, Elham Ahmed; Abdel Zaher, Yousef

doi:10.21608/bmfj.2024.265732.2005

Evaluation of Efficacy and Safety of Topical Hemostatic Agents in controlling Obstetric and Gynecologic Hemorrhage

Document Type : Original Article

Authors

¹ Obstetrics and Gynecology department,benha faculty of medicine

² Professor of Obstetrics and Gynecology Faculty of Medicine - Benha University

³ Department of Gynae & Obstetric-Faculty of Medicine-Benha University

⁴ Assistant Professor of Obstetrics and Gynecology Faculty of Medicine - Benha University

10.21608/bmfj.2024.265732.2005

Abstract

ABSTRACT
Background: Intraoperative hemorrhage remains a major concern of surgery in obstetrics and gynecology. Morbidity can be severe, resulting in increased transfusion rates, hospital stay, cost and rarely mortality. Aim of the Work: the study aims to assess the efficacy and safety of topical hemostatic agents in different causes of bleeding in obstetrics and gynecology as post-partum hge, myomectomy, and ectopic pregnancy. Patients & Methods: This study was carried out on 60 female patients divided into 2 groups. Group 1: Patients with PPH, myomectomy operation, and ectopic, who have bleeding during surgery who and given the usual management protocol of a university hospital plus the use of a THA (gel foam) Group 2: Patients with PPH, myomectomy operation, and ectopic and given the usual management protocol. Results: Those technically simple procedures such as the use of Gel foam at the bleeding sites should have priority in cases of PPH, Myomectomy and Ectopic pregnancy because they are effective, reliable, and can be performed under easy instructions and by less trained personnel. In this study, Hemoglobin level was much greater in group A than in group B, per post-operative data (p-value = 0.05). Conclusion: The study's findings, imply that topical hemostatic agents would help to treat intraoperative bleeding in patients who have had myomectomy, ectopic pregnancy, or postpartum hemorrhage. When compared to the standard code red management procedure alone.

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