Step 1
1. Perform manual reversion of the uterus (Perform under general anesthesia or wait for the effects of uterotonics to wear off)
In case of failure
Step 2
1. Perform laparotomy - uterine inversion
In case of failure
Step 3
Surgical intervention (gradual devascularization of the uterus)
- Gradual ligation of aa. uterinae and aa. ovaricae
- Uterine compression sutures
- Ligament aa. iliacae internae
Hysterectomy in a woman of childbearing age is a major intervention that will significantly affect her future life. We approach hysterectomies very carefully and individually.
Indications for a Hysterectomy:
• Continued uterine bleeding when previous measures have failed and all available options (pharmacological and surgical) have been exhausted
• Placenta accreta spectrum when clinical findings do not allow conservative surgical management
• Devastating uterine injury
• When the uterus is suspected as a cause of sepsis
Surgical interventions are performed with i.v. ATB administration.