title: A new removable uterine compression by a brace suture in the management of severe postpartum hemorrhage.
abstract: Postpartum hemorrhage (PPH) is a life-threatening complication of delivery. It is the leading cause of maternal mortality. During the last 15 years, several total uterine compressive sutures were described in literature. They have proven their effectiveness and safety in the management of severe PPH as an alternative to hysterectomy. We present in this paper a new technique of uterine compressive sutures based on removable uterine brace compressive sutures with compression of the uterus against the pubis. This technique may be more effective by using two mechanisms of uterine bleeding control and also may prevent uterine synechia by respecting the uterine cavity and the removal of the suture 1 or 2 days later. We also present the results of a 15 patients' series using this new suture.
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital Mohammed VI , Marrakech , Morocco.
authors.forename: Abderrahim
authors.initials: A
authors.lastname: Aboulfalah
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital Mohammed VI , Marrakech , Morocco.
authors.forename: Bouchra
authors.initials: B
authors.lastname: Fakhir
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital Mohammed VI , Marrakech , Morocco.
authors.forename: Yassir
authors.initials: Y
authors.lastname: Ait Ben Kaddour
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital Mohammed VI , Marrakech , Morocco.
authors.forename: Hamid
authors.initials: H
authors.lastname: Asmouki
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital Mohammed VI , Marrakech , Morocco.
authors.forename: Abderraouf
authors.initials: A
authors.lastname: Soummani
keywords: conservative treatment; postpartum hemorrhage; surgical management; uterine brace compressive sutures; uterine compressive sutures