Hemostatic cervical suturing technique for management of uncontrollable postpartum haemorrhage originating from the cervical canal.
OBJECTIVE
To evaluate the efficacy and safety of a novel cervical suturing technique for management of uncontrollable postpartum haemorrhage originating from the cervical canal.


METHODS
Cervical suturing was performed on three women to control intractable postpartum haemorrhage originating from the cervical canal and not responding to classic management. Haemostatic cervical suturing by using no. 1 chromic catgut is a new surgical technique which approximates anterior and posterior cervical lips. It controls cervical haemorrhage by attachment and compression of the haemorrhage site of the cervical lips and lower uterine segment.


RESULTS
The procedure was effective in all cases and hysterectomy was not needed in any case. No complication occurred and the survival rate was 100%. The procedure required no special expertise or extraordinary equipment.


CONCLUSIONS
Cervical suturing technique for management of postpartum haemorrhage originating from the cervical canal is an easy, safe and highly effective conservative surgical technique that may be alternative to hysterectomy.
Kafali
Hasan
H
Department of Obstetrics & Gynecology, Harran University, Medical School, 63100, Sanliurfa, Turkey. hasankafali@hotmail.com
Demir
Nurettin
N
Soylemez
Feride
F
Yurtseven
Seniz
S
D000328:Adult; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome