title: Is uterine-sparing surgical management of persistent postpartum hemorrhage truly a fertility-sparing technique?
abstract: Among 23 women who underwent diagnostic hysteroscopy after triple uterine artery ligation with or without hemostatic multiple square suturing for the management of postpartum hemorrhage (PPH), five had abnormal findings. Endometritis was statistically significantly associated with abnormal diagnostic hysteroscopy findings. Twelve patients developed subsequent pregnancies, and four had abnormal obstetric outcomes: one placenta percreta, one placenta accreta, one recurrent postpartum hemorrhage, and one intrauterine growth retardation.
authors.affiliation: Service de Gynécologie Obstétrique, Assistance Publique Hôpitaux de Marseille (APHM), Hôpital Nord, Marseille, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Blanc
authors.forename: Blandine
authors.initials: B
authors.lastname: Courbiere
authors.forename: Raoul
authors.initials: R
authors.lastname: Desbriere
authors.forename: Florence
authors.initials: F
authors.lastname: Bretelle
authors.forename: Léon
authors.initials: L
authors.lastname: Boubli
authors.forename: Claude
authors.initials: C
authors.lastname: d'Ercole
authors.forename: Xavier
authors.initials: X
authors.lastname: Carcopino
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D004715:Endometriosis / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005298:Fertility; D005317:Fetal Growth Retardation / Q000209:etiology; D005322:Premature Rupture of Fetal Membranes / Q000209:etiology; D005602:France; D006175:Gynatresia / Q000175:diagnosis / Q000209:etiology; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D008026:Ligation; D010921:Placenta Accreta / Q000209:etiology; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D018873:Pregnancy Rate; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D055988:Uterine Artery / Q000601:surgery*; D055815:Young Adult