Matsubara–Yano suture: a simple uterine compression suture for postpartum hemorrhage during cesarean section

2018 ◽  
Vol 299 (1) ◽  
pp. 113-121 ◽  
Author(s):  
Hironori Takahashi ◽  
Yosuke Baba ◽  
Rie Usui ◽  
Hirotada Suzuki ◽  
Kenji Horie ◽  
...  
Placenta ◽  
2019 ◽  
Vol 87 ◽  
pp. 73
Author(s):  
Takeya Hara ◽  
Shinya Matsuzaki ◽  
Nakagawa Satoshi ◽  
Erika Nakatsuka ◽  
Tatsuya Miyake ◽  
...  

Author(s):  
Shigeki Matsubara ◽  
Yosuke Baba ◽  
Hirotada Suzuki ◽  
Haruna Suzuki ◽  
Tomomi Nagashima ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Mustafa Kaplanoğlu

Mullerian duct anomalies may cause obstetric complications, such as postpartum hemorrhage (PPH) and placental adhesion anomalies. Uterine compression suture may be useful for controlling PPH (especially atony). In recent studies, uterine compression sutures have been used in placenta accreta. We report a case of PPH, a placenta accreta accompanying a large septae, treated with B-Lynch suture and intrauterine gauze tampon.


2011 ◽  
Vol 91 (1) ◽  
pp. 147-151 ◽  
Author(s):  
WAI YOONG ◽  
ALEXANDRA RIDOUT ◽  
MARIA MEMTSA ◽  
ANDREAS STAVROULIS ◽  
MERNOOSH AREF-ADIB ◽  
...  

2020 ◽  
Vol 103 (10) ◽  
pp. 1075-1082

Background: Postpartum hemorrhage (PPH) is the third leading cause of maternal death. Uterine atony is the most common cause, and surgical management is the last method for PPH. Objective: To assess operative outcomes after uterine compression suture (B-Lynch suture technique) versus cesarean hysterectomy. Materials and Methods: The comparison retrospective research evaluated the operative outcomes of the pregnant women managed by the B-Lynch suture technique (group 1) versus cesarean hysterectomy (group 2). Unique data form, designed to collect all patients involved in the present study, were reviewed and analyzed. The population study was pregnant women divided into two groups. Thirty-five patients were assigned to group 1 and thirty-five patients were assigned to group 2. The independent t-test was used to compare means of categorical variables between the two groups, with p<0.05 indicating statistical significance. Results: Twenty-three thousand two hundred fifty-eight pregnant women delivered during the study period, which was 18 years 6 months. PPH occurred in 563 patients (2.42%), in both vaginal and cesarean deliveries. Intractable PPH occurred in 177 patients (0.76%) during cesarean section. Clinical data risk factors were age, complications while receiving blood transfusion, injury to the urinary bladder, and death. Several outcomes in group 1 were better than in group 2, such as the interval of operation, blood loss, fever after surgery, and saving of life. However, three patients in the trial of B-Lynch suture were changed to hysterectomy due to curative management. Conclusion: The uterine compression suture (the B-Lynch technique) should be used promptly to manage acute PPH due to uterine atony. Additionally, a cesarean hysterectomy might be used for surgical management in the latter method, depending on the severity of the patient, the etiology of PPH, and the obstetrician’s skills and experience. Keywords: Postpartum hemorrhage, Uterine compression suture, Cesarean hysterectomy


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Ali Abdelhamed M. Mostfa ◽  
Mostafa M. Zaitoun

Objective. To assess the efficacy of a new suture technique in controlling severe resistant uterine atonic postpartum hemorrhage. Patients and Methods. This is a retrospective observational study that included thirteen women with uterine atony and postpartum bleeding that did not react to usual medical management. All these women underwent compressing vertical suture technique in which the anterior and posterior walls of the uterus were attached so as to compress the uterus. The suture is transfixed at the uterine fundus, thus eliminating the risk of sutures sliding off at the uterine fundus (safety pin suture). Results. safety pin uterine compression suture was a sufficient procedure to stop the bleeding immediately in 92.2% of the women. None of the women developed complications related to the procedure. Conclusion. A new safety pin suture is a simple and effective procedure to control bleeding in patients with treatment-resistant, life-threatening atonic postpartum hemorrhage with the advantage of eliminating the risk of the sutures sliding off at the uterine fundus.


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