Response to correspondence “Prophylactic use of Bakri balloon for placenta previa surgery: A simple procedure to prevent balloon prolapse”

摘要

In the previous study, we showed that the prophylactic use of the Bakri balloon to prevent placenta previa during a cesarean sec- tion helps achieving hemostasis with high efficacy [1]. However, using the balloon was not successful in all cases, and the present study showed that the balloon prolapsing was the main problem causing persistent hemorrhage [2]. When the balloon prolapsed, we attempted to re-insert the Bakri balloon in the same way imme- diately. Hence, Dr. Matsubara described the method to insert the Bakri balloon vaginally holding the cervical lips using forceps [3]. Because this method was easy and effective, we believed that it was the method of choice.