[Partial uterine wall necrosis following Cho hemostatic sutures for the treatment of postpartum hemorrhage].
A 38-year-old woman, gravida 2, para 2, underwent caesarean section at 41 weeks' gestation and suffered postpartum hemorrhage due to uterine atony. Four Cho sutures were used to control hemorrhage. A systematic postpartum hysteroscopy showed a heterogenous whitish area of the fundus and MRI advocated placental retention. However, hysteroscopically guided biopsies confirmed the diagnosis of partial uterine necrosis. We emphasize the need to undergo postoperative follow-up to confirm uterine wall integrity after placement of compression sutures in order to document the complications of this procedure, which remain under evaluated.
Reyftmann
L
L
Service de gynécologie-obstétrique, hôpital universitaire A.-de-Villeneuve, 371, 34295 Montpellier 5, France. l-reyftmann@chu-montpellier.fr
Nguyen
A
A
Ristic
V
V
Rouleau
C
C
Mazet
N
N
Dechaud
H
H
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006488:Hemostasis, Surgical / Q000009:adverse effects*; D006801:Humans; D009336:Necrosis; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques / Q000009:adverse effects; D013537:Sutures / Q000009:adverse effects; D014599:Uterus / Q000473:pathology* / Q000601:surgery*