title: A novel 'uterine sandwich' for haemorrhage at caesarean section for placenta praevia.
abstract: Although massive haemorrhage at caesarean section (CS) for placenta praevia is a serious concern, effective treatment is not yet determined. We performed a new uterine sandwich to achieve haemostasis at CS for total placenta praevia in five consecutive cases in whom the placenta reached up to >5 cm from the internal cervical os in all directions of an uterine wall. A Matsubara-Yano (MY) uterine compression suture was placed, followed by placement of an intrauterine balloon. Haemostasis was achieved in all five cases with median blood loss of 1618 mL. No short-term adverse events were observed. The MY sandwich can be used to achieve haemostasis at CS for placenta praevia.
authors: Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan.
authors: Shigeki
authors: S
authors: Matsubara
authors: Tomoyuki
authors: T
authors: Kuwata
authors: Yosuke
authors: Y
authors: Baba
authors: Rie
authors: R
authors: Usui
authors: Hirotada
authors: H
authors: Suzuki
authors: Hironori
authors: H
authors: Takahashi
authors: Akihide
authors: A
authors: Ohkuchi
authors: Mitsuaki
authors: M
authors: Suzuki
mesh_terms: D000328:Adult; D021721:Balloon Occlusion; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D010923:Placenta Previa / Q000601:surgery*; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D013536:Suture Techniques; D014599:Uterus / Q000601:surgery
keywords: Matsubara-Yano suture; intrauterine balloon; placenta praevia; post-partum haemorrhage; uterine compression suture