Lim YH’s scientific contributions

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Publications (1)


Fig 1: (a) Digital subtraction angiography (DSA) image of left internal iliac artery runs showing contrast extravasation (arrows) from the inferior vesicle branch (arrowheads) indicating an active bleed. (b) An oblique view showing more extravascular contrast accumulation in the delayed phase (arrows).
Fig 2: Post embolisation image showed blockage of the inferior vesicle artery and the bleeding was successfully arrested.
Case Review: Post Partum Vulvo-vaginal Haematomas and Options of Management
  • Article
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January 2011

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1 Citation

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Vulvo-vaginal haematomas are not an uncommon obstetric complication. Despite advances in obstetric care, practice and technique, vulvo-vaginal haematomas do occur especially in complicated vaginal deliveries. Various management options are available for vulvo-vaginal haematomas. We describe three cases of vulvo-vaginal haematomas with different severity and presentations which were managed in different manners i.e. local haemostasis control, laparotomy with hysterectomy, and transarterial embolisation. The choice of treatment options would mainly depend on the clinical presentations, availability of expertise as well as facilities. Early identification is crucial

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Citations (1)


... Unsuccessful bleeding control, progressive growth of hematoma, and failure to provide hemodynamic stability may require laparotomy and ligation of bleeding vessel or ligation of the internal iliac artery. 9 In our case, emergent laparotomy was performed due to hemodynamic instability. Because of failure to explore the internal iliac artery, we moved on to the pelvic angiographic embolization. ...

Reference:

Angiographic Embolization in the Treatment of Puerperal Hematoma
Case Review: Post Partum Vulvo-vaginal Haematomas and Options of Management