scholarly journals Rethinking uterine compression suture for atonic postpartum hemorrhage

2020 ◽  
Vol 100 (1) ◽  
pp. 5-6
Author(s):  
Eiji Kondoh ◽  
Akihiko Ueda ◽  
Haruta Mogami
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Compression Suture ◽  
Compression Suture

Efficacy of the dedicated needle for uterine compression suture and Bakri balloon for postpartum hemorrhage with placenta previa

Placenta ◽  
2019 ◽  
Vol 87 ◽  
pp. 73
Author(s):  
Takeya Hara ◽  
Shinya Matsuzaki ◽  
Nakagawa Satoshi ◽  
Erika Nakatsuka ◽  
Tatsuya Miyake ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Placenta Previa ◽  
Uterine Compression Suture ◽  
Compression Suture ◽  
Bakri Balloon

scholarly journals The Uterine Sandwich Method for Placenta Previa Accreta in Mullerian Anomaly: Combining the B-Lynch Compression Suture and an Intrauterine Gauze Tampon

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Mustafa Kaplanoğlu
Keyword(s):  
Postpartum Hemorrhage ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Obstetric Complications ◽  
Müllerian Duct Anomalies ◽  
Sandwich Method ◽  
Mullerian Anomaly ◽  
Mullerian Duct Anomalies ◽  
Uterine Compression Suture ◽  
Compression Suture

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.

Application of uterine compression suture in association with intrauterine balloon tamponade (‘uterine sandwich’) for postpartum hemorrhage

2011 ◽  
Vol 91 (1) ◽  
pp. 147-151 ◽  
Author(s):  
WAI YOONG ◽  
ALEXANDRA RIDOUT ◽  
MARIA MEMTSA ◽  
ANDREAS STAVROULIS ◽  
MERNOOSH AREF-ADIB ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Balloon Tamponade ◽  
Uterine Compression Suture ◽  
Compression Suture

Uterine Compression Suture Versus Cesarean Hysterectomy in Management of Intractable Postpartum Hemorrhage

2020 ◽  
Vol 103 (10) ◽  
pp. 1075-1082
Keyword(s):  
Pregnant Women ◽  
Surgical Management ◽  
Postpartum Hemorrhage ◽  
Suture Technique ◽  
Cesarean Hysterectomy ◽  
Operative Outcomes ◽  
Uterine Compression Suture ◽  
Compression Suture ◽  
Group 2 ◽  
Group 1

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

scholarly journals Safety Pin Suture for Management of Atonic Postpartum Hemorrhage

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Ali Abdelhamed M. Mostfa ◽  
Mostafa M. Zaitoun
Keyword(s):  
Observational Study ◽  
Postpartum Hemorrhage ◽  
Medical Management ◽  
Suture Technique ◽  
Treatment Resistant ◽  
Life Threatening ◽  
Uterine Compression Suture ◽  
Compression Suture ◽  
Uterine Fundus ◽  
Safety Pin

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.

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 ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Uterine Compression Suture ◽  
Compression Suture

scholarly journals Uterine compression suture is an effective mode of treatment of postpartum haemorrhage

2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Hongmei Jiang ◽  
Li Wang ◽  
Jing Liang
Keyword(s):  
Postpartum Hemorrhage ◽  
Recovery Time ◽  
Adverse Reactions ◽  
Postpartum Haemorrhage ◽  
Statistical Significance ◽  
Control Group ◽  
Observation Group ◽  
Research Subjects ◽  
Uterine Compression Suture ◽  
Compression Suture

Objective: To compare the effects of uterine compression suture versus conventional mode of treatment for the management of postpartum haemorrhage after caesarean section. Methods: This study enrolled 84 women with postpartum hemorrhage who were admitted to Binzhou People’s Hospital from August 2017 to October 2018 as the research subjects. They were divided into a control group and an observation group according to random number table method, 42 each group. The patients in the control group were treated by conventional treatment, while those in the observation group were treated by uterine compression suture. The hemorrhage, hemostasis, postoperative recovery and frequency of adverse reactions were compared between the two groups. Results: The amount of bleeding in the observation group was less than that in the control group, and the bleeding time was shorter than that in the control group; the differences had statistical significance (P<0.05). The success rate of hemostasis in the observation group was significantly higher than that in the control group, and the ineffective rate of hemostasis was significantly lower than that in the control group (P<0.05); the differences were statistically significant. The cleaning time of lochia, the recovery time of uterus and the recovery time of menstruation in the observation group were significantly shorter than that in the control group (P<0.05); the differences between the two groups were statistically significant (P<0.05). The frequency of adverse reactions in the observation group was significantly lower than that in the control group (P<0.05), and the difference was statistically significant (P<0.05). Conclusion: Uterine compression suture is effective for postpartum hemorrhage of cesarean section, which can effectively reduce postpartum hemorrhage, shorten postpartum hemorrhage time and accelerate the recovery. It is safe and worth clinical promotion. doi: https://doi.org/10.12669/pjms.36.2.1072 How to cite this:Jiang H, Wang L, Liang J. Uterine compression suture is an effective mode of treatment of postpartum haemorrhage. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.1072 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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