Posted on Authorea 14 Feb 2020 | CC BY 4.0 | https://doi.org/10.22541/au.158169787.74484390 | This a preprint and has not been peer reviewed. Data may be preliminary. An Inflatable Surgical Glove to Control Postpartum Bleeding Following Cesarean Hysterectomy Ali Elsaman 1 , noha mousa 2 , Tarek Farghaly 1 , Mohammed Khairy 1 , Mohamed Salama 3 , Dina Habib 1 , Esraa Badran 1 , Mostafa Bahlool 1 , Ahmad Yousef 1 , Alshimaa Hassan 1 , Dina Elsaman 4 , and Sherif Shazly 5 1 Affiliation not available 2 University of Sharjah 3 Ain Shams University Faculty of Medicine 4 Assiut University Faculty of Medicine 5 Mayo Clinic May 5, 2020 Abstract Cesarean hysterectomy remains a life-saving surgery mostly performed under critical circumstances to control severe obstetric hemorrhage. Post-hysterectomy pelvic bleeding is a serious complication that may arise despite securing all accessible vascular pedicles. Pelvic compression presents a key last resort in the management of such challenging cases. No procedure-related intraoperative complications were encountered. One patient developed surgical site infection that was treated by antibiotics and secondary closure. In summary, we believe that the present balloon tamponade has employed a low-cost readily available equipment to provide a rapid and simple intervention which can be potentially lifesaving for women with pelvic hemorrhage post-hysterectom Problem Caesarian hysterectomy is a lifesaving surgery for severe peri-partum hemorrhage. 1-3 Post hysterectomy pelvic hemorrhage is a problematic event -with very limited treatment options- that may occur despite secure ligation of all accessible vascular pedicles. Such resistant, potentially fatal, bleeding is contributed to by complex factors including excessive tissue trauma, coagulopathy, and infection. Pelvic packing is a well-recognized intervention, that utilizes mechanical compression on blood vessels until physiologic hemostasis is achieved 4,8,9 . Its effectiveness is reported to be between 78-100% 5-7 , particularly in controlling bleeding from oozing surfaces 8-9 . Lap sponge-based packing requires a second laparotomy with an increased risk of febrile morbidity. Pelvic pneumatic balloon tamponade does not require second laparotomy and enables instantaneous monitoring and modification of applied pressure through inflation- deflation. Reported pelvic balloon tamponades include Foley catheter, Bakri balloon, and condom 10-11 . They appear to provide satisfactory outcomes, nevertheless, the inflation capacity of Foley catheter and low tensile strength of condoms may present limitations. Bakri balloon is of high-cost not affordable in low-resourced settings. Technique We describe a tamponade procedure for the control of post-Caesarean hysterectomy bleeding. Dependent on the use of a surgical glove and a sphygmomanometer, the technique was effective to control pelvic bleeding 1