A new uterine suture technique for postpartum hemorrhage.
At present, postpartum hemorrhage is still an important cause of maternal mortality and morbidity. When medical therapy has no success, conservative surgical procedures are applied before making a hysterectomy. Three transverse sutures are applied to the entire uterine wall both to the right and the left side of the uterus. Our technique has been applied to 4 women with postpartum hemorrhage secondary to uterine atony. Bleeding was stopped immediately by compressive sutures. The four patients had normal menstruation cycles after delivery and had new pregnancies. No woman had postoperative complications. Uterus compressive suture is an effective alternative to hysterectomy to treat postpartum hemorrhage secondary to atony. This is a simple and quick procedure that preserves fertility.
Cardone
A
A
Department of Gynecology, Obstetrics and Neonatology, Second University of Naples, Naples, Italy.
Zarcone
R
R
Visconti
S
S
Monteverde
A
A
Laezza
C
C
Balbi
G C
GC
D000328:Adult; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007044:Hysterectomy; D013513:Obstetric Surgical Procedures; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014599:Uterus / Q000601:surgery*