Advantages and disadvantages of different interventions
| Technique . | Advantages . | Disadvantages . | Success rate % (95% CI) . |
|---|---|---|---|
| Balloon tamponade eg, Bakri, Rusch balloon, Sengstaken-Blackmore tube, or condom catheter | Simple technique Low cost Can avoid laparotomy | 84.0 (77.5-88.8) | |
| Brace suture eg, B lynch, modified compression sutures | Simple technique Low cost | Requires laparotomy in event of vaginal delivery Case reports of infection, uterine necrosis, and Asherman syndrome | 91.7 (84.9-95.5) |
| Uterine artery ligation | Reduces blood supply to uterus | Vaginal artery still supplying uterus | |
| Internal iliac artery ligation | Further reduction in blood supply by occluding vaginal and uterine arteries | Requires higher level of surgical training | 84.6 (81.2-87.5) |
| Interventional radiology | Useful as second-line treatment | Specialist equipment and skills limit availability Case reports of uterine necrosis, infection, and vascular perforation | 90.7 (85.7-94.0) |
| Technique . | Advantages . | Disadvantages . | Success rate % (95% CI) . |
|---|---|---|---|
| Balloon tamponade eg, Bakri, Rusch balloon, Sengstaken-Blackmore tube, or condom catheter | Simple technique Low cost Can avoid laparotomy | 84.0 (77.5-88.8) | |
| Brace suture eg, B lynch, modified compression sutures | Simple technique Low cost | Requires laparotomy in event of vaginal delivery Case reports of infection, uterine necrosis, and Asherman syndrome | 91.7 (84.9-95.5) |
| Uterine artery ligation | Reduces blood supply to uterus | Vaginal artery still supplying uterus | |
| Internal iliac artery ligation | Further reduction in blood supply by occluding vaginal and uterine arteries | Requires higher level of surgical training | 84.6 (81.2-87.5) |
| Interventional radiology | Useful as second-line treatment | Specialist equipment and skills limit availability Case reports of uterine necrosis, infection, and vascular perforation | 90.7 (85.7-94.0) |
Wikkelsø et al.58
CI, confidence interval.