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.

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 Assessment of Efficacy of Hayman Suture Technique in Management of Intraoperative Atonic Postpartum Hemorrhage

2020 ◽  
Vol 24 (2) ◽  
Author(s):  
DRAKHSHAN NAUMAN ◽  
NADIA SAIF ◽  
UZMA SIDDIQUE ◽  
NOSHEEN NAVEED ◽  
UZMA SIDDIQUE
Keyword(s):  
Surgical Technique ◽  
Observational Study ◽  
Study Design ◽  
Postpartum Hemorrhage ◽  
Medical Management ◽  
Maternal Morbidity ◽  
Descriptive Study ◽  
Suture Technique ◽  
Uterine Atony ◽  
Maternal Morbidity And Mortality

Objective:  To assess the efficacy of the Hayman suture technique in the management of intraoperative atonic postpartum hemorrhage thus reducing maternal morbidity and mortality. Study Design:  Simple Descriptive study. Materials and Method:  A simple descriptive observational study was conducted at Farooq Hospital and AIT, Lahore. The study included all patients with intraoperative atonic PPH after elective and emergency caesarean sections, during the study period, in whom medical management of PPH failed and Hayman suture was applied. Results:  Hayman suture was 97.5% successful in controlling primary PPH due to intraoperative uterine atony. It failed in only one patient (2.5%) and that patient needed a hysterectomy. Conclusion:  Hayman suture is an effective and quick technique in controlling primary PPH due to intraoperative uterine atony. It is an effective surgical technique after failure of conservative medical management. It is easy to apply and can be applied by Postgraduate trainees and registrar in emergency as lifesaving procedure.

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.

scholarly journals Uterine compression suture technique in the management of severe postpartum haemorrhage as an alternative to hysterectomy

2009 ◽  
Vol 137 (11-12) ◽  
pp. 638-640 ◽  
Author(s):  
Dusan Stanojevic ◽  
Marija Stanojevic ◽  
Milena Zamurovic ◽  
Anka Cirovic ◽  
Amira Hajric ◽  
...  
Keyword(s):  
Postpartum Haemorrhage ◽  
Suture Technique ◽  
Uterine Atony ◽  
High Morbidity ◽  
Excessive Bleeding ◽  
Surgical Methods ◽  
Extreme Measure ◽  
Uterine Compression Suture ◽  
Compression Suture ◽  
Spontaneous Delivery

Introduction. One of the most dramatic conditions in obstetrics is definitely bleeding from the uterus which fails to compress. This condition is known as postpartum atony. When such a condition is diagnosed, the obstetrician has a choice of several conservative methods to stimulate the uterus to contract and several surgical methods to stop the bleeding. The most extreme measure used to save the patient's life and stop the bleeding is hysterectomy. This surgery is characterized by high morbidity, primarily by the loss of woman's fertility. In order to avoid hysterectomy, several authors have introduced the compressive uterine suture technique into gynaecological practice. Objective. The aim of the paper is to demonstrate the technique of applying compressive uterine suture after delivery to stop excessive bleeding, and to present results obtained by this technique. Methods. The paper explains the technique of applying compressive suture to the atonic uterus in cases when all other procedures to stop excessive bleeding after delivery fail. Since uterine atony is the main reason for excessive and uncontrollable bleeding after childbirth, the need to perform such surgery is rather common. Authors demonstrate the technique of applying four compressive sutures which prevent uterus dilation and thus stop the bleeding. Results. Compressive suture technique was used by the authors eight times, seven of which during caesarean section and one after spontaneous delivery. All patients had normal postpartum period and normal involution of the uterus. Conclusion. Although this surgery requires a skilful and experienced obstetrician, the authors find it rather easy to perform and it is suggested to be applied in all cases of uterine atony when excessive bleeding cannot be stopped by other any other method except hysterectomy. This surgical procedure saves the uterus and facilitates quick and easy patient's recovery.

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