alexa Post-Cesarean Section Hemorrage Treated by a Collagen P
ISSN: 2165-7920

Journal of Clinical Case Reports
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Post-Cesarean Section Hemorrage Treated by a Collagen Patch Coated with the Human Coagulation Factors

Andrea Tinelli*
Division of Experimental Endoscopic Surgery, Imaging, Minimally Invasive Therapy & Technology, Department of Obstetrics and Gynaecology, Vito Fazzi Hospital, Piazza Muratore, 73100 Lecce, Italy
Corresponding Author : Dr. Andrea Tinelli
Division of Experimental Endoscopic Surgery
Imaging, Minimally Invasive Therapy & Technology
Department of Obstetrics and Gynaecology
Vito Fazzi Hospital, Piazza Muratore, 73100 Lecce, Italy
Tel: +39/339/2074078 Fax: +39/0832/661511
Received December 04, 2011; Accepted December 06, 2011; Published December 15, 2011
Citation: Tinelli A (2011) Post-Cesarean Section Hemorrage Treated by a Collagen Patch Coated with the Human Coagulation Factors. J Clinic Case Reports 1:e103. doi:10.4172/2165-7920.1000e103
Copyright: © 2011 Tinelli A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Uterine hemorrhage is a common problem at the time and after caesarean section especially in a repeat caesarean section, where the surgical techniques used widely differ. An inadequate hemostasis of the uterine incision and the vesical-uterine vessels during CS, in closed and open visceral peritoneum, could lead to early hemorrhagic compliances, to control by further surgery. We present the case of a 31-year-old woman undergoing a scheduled repeat emergency caesarean section. She had progressive bleeding from the incision site during the first post-operative days, since in third day she developed a hemorrhagic shock for a hemoperitoneum. Patient was re-operated and bleeding at uterine site incision was not controlled by traditional management including intravenous oxytocin and ergometrine, intramyometrial ergometrin and local hemostatic sutures, but was successfully controlled by equine collagen patch coated with human coagulation factors. Her postoperative period was uneventful and she and her baby were discharged in good condition on day 5. Both of them were doing well on a follow up visit after 1 month.


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