Single square hemostatic suture for postpartum hemorrhage secondary to uterine atony.
OBJECTIVE
The objective of this study is to describe a novel technique for the treatment of postpartum hemorrhage and evaluate its effectiveness and safety.


METHODS
Single square hemostatic suture was performed for uterine atony when postpartum hemorrhage did not respond to medical therapy and bilateral uterine artery ligation. We retrospectively reviewed the data of 11 women and evaluated their endometrial cavity with hydrosonography after a follow-up period of 8-34 months.


RESULTS
The single square hemostatic suture successfully stopped bleeding in all of the cases. Of the 11 women, 2 could not be traced. Menstruation started without delay in nine women. One of the women achieved pregnancy 25 months after surgery. The six women who underwent hydrosonography had an intact endometrial cavity.


CONCLUSIONS
For women who desire future fertility, and when bilateral uterine artery ligation is not sufficient to control PPH, single square suturing may be used as an effective and safe procedure.
Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Research and Teaching Hospital, Istanbul, Turkey.
Ozgur
O
Akbayir
Aytul
A
Corbacioglu Esmer
Pınar
P
Cilesiz Goksedef
Ali
A
Ekiz
Aysu
A
Akca
Birgul
B
Guraslan
Gokce
G
Akagunduz
D000293:Adolescent; D000328:Adult; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014593:Uterine Inertia / Q000628:therapy