# Preventing Bakri Balloon Puncture During Cesarean Section in Placenta Previa: Fundal Fixation Temur Technique

## TL;DR

A new technique is introduced to prevent Bakri balloon puncture during cesarean sections in placenta previa cases.

## Contribution

The fundal fixation technique is proposed as a novel method to displace the balloon away from the hysterotomy site.

## Key findings

- The fundal fixation technique successfully managed four cases of placenta previa without balloon puncture.
- The method proved safe and effective in minimizing balloon puncture risk during cesarean sections.

## Abstract

Placenta previa is a major risk factor for obstetric hemorrhage. Bakri balloon tamponade (BBT) is a well-established uterine-sparing method, but balloon puncture during uterine closure may compromise its effectiveness. We present a fundal fixation technique, a simple modification involving temporary fundal fixation of the balloon catheter to displace it away from the hysterotomy site during closure. This technical report outlines the method and summarizes the outcomes from four cases of placenta previa that were managed successfully. This fundal fixation technique is a safe and effective method for minimizing balloon puncture risk during cesarean sections.