Villalobos Technique of vascular ligation and uterine compression for the Management of Obstetric Hemorrhage: Surgical Technique

Alejandro L. Villalobos-Rodríguez

doi:10.58372/2835-6276.1225

Authors

Alejandro L. Villalobos-Rodríguez

DOI:

https://doi.org/10.58372/2835-6276.1225

Keywords:

Villalobos technique, Obsteric Hemorrhage, Compressive Suture, uterine atony, hemorrhage control

Abstract

The Villalobos Technique of vascular ligation and uterine compression is an innovative surgical approach designed for the effective management of obstetric bleeding, particularly in cases of uterine atony and during transcesarean procedures. This technique combines ligation of the uterine arteries with a compressive suture, allowing rapid control of bleeding while preserving the function of the uterus and, therefore, the patient's fertility. The procedure is fast and safe, providing an effective alternative to hysterectomy in situations where conservative management of the uterus is required. Furthermore, its simplicity makes it applicable in resource-limited settings where access to advanced technology is scarce, making it a valuable tool for reducing maternal mortality in emergency obstetric settings. Through a series of clinical cases, the technique has demonstrated its ability to effectively stop obstetric hemorrhage and stabilize patients in critical situations. Its implementation can have a significant impact on reducing mortality and improving clinical outcomes, especially in second and third level hospitals.

References

Bláha J, Bartošová T. Epidemiology and definition of PPH worldwide. Best Pract Res Clin Anaesthesiol. 2022 Dec;36(3-4):325-339. doi: 10.1016/j.bpa.2022.11.001. Epub 2022 Nov 13. PMID: 36513428.

Lawrence ER, Klein TJ, Beyuo TK. Maternal Mortality in Low and Middle-Income Countries. Obstet Gynecol Clin North Am. 2022;49(4):713-733. doi: 10.1016/j.ogc.2022.07.001.

Ndicunguye VM, El Ayadi AM. Quality Improvement Models and Methods for Maternal Health in Lower-Resource Settings. Obstet Gynecol Clin North Am. 2022;49(4):823-839. doi: 10.1016/j.ogc.2022.08.009.

Dahlke JD, Mendez-Figueroa H, Maggio L, et al. Prevention and management of postpartum hemorrhage: a comparison of 4 national guidelines. Am J Obstet Gynecol. 2015;213(1):76.e1-76.e10. doi: 10.1016/j.ajog.2015.02.023.

Allam MS, B-Lynch C. The B-Lynch and other uterine compression suture techniques. Int J Gynaecol Obstet. 2005;89(3):236-241. doi: 10.1016/j.ijgo.2005.02.014.

Osanan GC, Charry RC, et al. Glob. libr. women's med., ISSN: 1756-2228; DOI 10.3843/GLOWM.413063.

Arulkumaran S. A Comprehensive Textbook of Postpartum Hemorrhage: An Essential Clinical Reference for Effective Management. Sapiens; 2012.