Dehiscent high jugular bulb: a pitfall in middle ear surgery.

Objective: The aim of this study was to present our experience on facing the dehiscent high jugular bulb (HJB) during middle ear surgery in the past 2 decades.

Study Design: Retrospective review.

Setting: Secondary referral hospital.

A useful technique for the control of severe cesarean hemorrhage: report of three cases.

When we are confronted with a patient experiencing placenta previa with massive hemorrhage in cesarean delivery, hemostasis is first attempted using uterotonic drugs, uterine massage, and intrauterine packing. However, if these maneuvers fail, then uterine artery ligation, whole myometrial suture, and subendometrial vasopressin injection should be attempted. Perhaps these procedures alone or in combination can successfully control the hemorrhage.

Rectal administration of misoprostol for the management of retained placenta--a preliminary report.

Background: Retained placenta is one of the serious complications of childbirth, and misoprostol is known to be a potent uterotonic agent. Therefore, we proposed that rectal misoprostol also may facilitate placental separation in women with retained placenta by its ability to increase uterine contractility.

Methods: The placenta was diagnosed as retained if it was not expelled within 40 minutes after vaginal birth.