Bakri balloon

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The Bakri Balloon [1] is a medical device invented by Dr. Younes Bakri [2] in collaboration with Cook® Medical (Bloomington, Indiana).

The obstetrical balloon is a 24-French, 54-cm long, silicone catheter with a filling capacity of 500-mL. The device is used for the temporary control and reduction of postpartum hemorrhage (PPH).

According to the World Health Organization, around 100,000 maternal deaths occur every year from PPH and is the leading cause of maternal mortality in the developed world.[3]

Use[edit]

The Bakri Balloon Tamponade is a silicone, obstetrical balloon specifically designed to treat postpartum hemorrhage (PPH). Also referred to as the Bakri Postpartum Balloon (BPB), the device is used for the "temporary control or reduction of postpartum hemorrhage when conservative management of uterine bleeding is warranted." [4]

Cases[edit]

The literature in both case reports and case series highlight the balloon’s effectiveness in treating postpartum bleeding and potentially avoiding hysterectomies. One study in Finland[5] involving 50 patients recorded an overall success rate of 86% when using the Bakri Balloon in managing PPH. A German study involving 20 patients cited an overall success rate of 90% when the balloon is used in combination with B-Lynch sutures.[6]

Endorsements[edit]

Both the International Federation of Gynaecology and Obstetrics (FIGO) and the International Confederation of Midwives (ICM) have approved the balloon as one of the primary support tools in treating PPH.[7]

See also[edit]

References[edit]

  1. ^ http://www.cookmedical.com/wh/dataSheet.do?id=4487
  2. ^ http://www.zoominfo.com/#!search/profile/person?personId=421700382&targetid=profile
  3. ^ Abouzahr C. Antepartum and postpartum haemorrhage. In: Murray CJ, Lopez AD, eds. Health Dimensions of Sex and Reproduction. Boston, Mass: Harvard University Press; 1998:172-4 http://globalhealth.kff.org/GHIR/Conditions/Maternal-Hemorrhage.aspx
  4. ^ http://www.cookmedical.com/wh/dataSheet.do?id=4487
  5. ^ “Use of Bakri balloon tamponade in the treatment of postpartum hemorrhage: a series of 50 cases from a tertiary teaching hospital.” Acta Obstet Gynecol Scand. 2012 Aug 22. doi: 10.1111/j.1600-0412.2012.01531 http://www.ncbi.nlm.nih.gov/pubmed/22913383
  6. ^ Diemert A, Ortmeyer G, Hollwitz B, et al. The combination of intrauterine balloon tamponade and the B-Lynch procedure for the treatment of severe postpartum hemorrhage. Am J Obstet Gynecol 2012;206:65.e1-4.
  7. ^ femecog.org.mx/docs/figo_a_b.pdf