title: Funnel compression suture: a conservative procedure to control postpartum bleeding from the lower uterine segment.
abstract: Bleeding from the lower uterine segment (LUS) during caesarean section remains a life-threatening obstetric problem, particularly in women with placenta praevia or partial placenta accreta in the LUS. Various conservative measures for the surgical treatment of postpartum haemorrhage have been studied for decades. In this paper we describe a funnel compression suture to staunch intractable bleeding from LUS for placenta praevia accreta. The suture brings the anterior and posterior walls of the LUS together using absorbable thread and was successful in the overwhelming majority of women. It is an easy, safe and effective conservative surgical treatment to stop severe bleeding of the LUS.
authors.affiliation: Department of Obstetrics and Gynaecology, China Meitan General Hospital, Beijing, China.
authors.forename: G T
authors.initials: GT
authors.lastname: Li
authors.affiliation: Wangjing Hospital, China Academy of Chinese Medical Science, Beijing, China.
authors.forename: G R
authors.initials: GR
authors.lastname: Li
authors.affiliation: Departments of Radiation Oncology, Peking University School of Oncology, Peking University Cancer Hospital, Beijing, China.
authors.forename: X F
authors.initials: XF
authors.lastname: Li
authors.affiliation: Department of Obstetrics and Gynaecology, China Meitan General Hospital, Beijing, China.
authors.forename: B P
authors.initials: BP
authors.lastname: Wu
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000601:surgery*; D010923:Placenta Previa / Q000601:surgery*; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques; D014599:Uterus / Q000601:surgery*; D055815:Young Adult
keywords: Funnel compression suture; lower uterine segment; placenta accreta; placenta praevia; postpartum haemorrhage