Circular isthmic-cervical sutures can be an alternative method to control peripartum haemorrhage during caesarean section for placenta praevia accreta

Dedes, Ioannis; Ziogas, Vasilios

doi:10.1007/s00404-008-0646-z

Cited by 25 publications

(25 citation statements)

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“…The success rate (81.8%) of the procedure for controlling bleeding from the LUS is a little lower than that of the sutures described by Hwu et al . (14/14) and Debes and Ziogas (6/6), but the rate of occurrence of complications (0%) is equivalent to that in both those studies (0/14 and 0/6, respectively). The funnel compression suture is easier than existing types and can be used in uterine atony as well as PPA.…”

Section: Discussionmentioning

confidence: 61%

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Funnel compression suture: a conservative procedure to control postpartum bleeding from the lower uterine segment

et al. 2015

BJOG

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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.Keywords Funnel compression suture, lower uterine segment, placenta accreta, placenta praevia, postpartum haemorrhage.Please cite this paper as: Li GT, Li GR, Li XF, Wu BP. Funnel compression suture: a conservative procedure to control postpartum bleeding from the lower uterine segment. BJOG 2016;123:1380-1385.

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Section: Discussionmentioning

confidence: 61%

“…achieved a satisfactory result with the use of a modified U‐suturing method to treat PPH after caesarean section. Dedes et al . reported a circular isthmic–cervical suture that can control PPH from the LUS due to PPA.…”

Section: Discussionmentioning

confidence: 99%

Funnel compression suture: a conservative procedure to control postpartum bleeding from the lower uterine segment

et al. 2015

BJOG

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“…Dedes ve ark. (20) beş tane plasenta akreatalı hastada sirküler servikal-istmik sütürlere uterin arter ligasyonu ekleyerek, bir hastada ise yalnızca bu sütürlerle kanamayı kontrol altına almayı başarmıştır. Ülkemizden ise Rauf ve ark.…”

Section: Discussionunclassified

Can uterus be conserved in cases which unexpected placenta accreta is encountered during cesarean section ?

Kaya¹

2017

Okmeydani Medical Journal

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“…Like other compression suturing techniques [15,16,17], this procedure enabled us to avoid emergency hysterectomy in 10 patients and thus preserved their fertility and evaded any of the surgical complications of hysterectomy in these critical circumstances. Besides, all 10 women had a good postoperative recovery.…”

Section: Discussionmentioning

confidence: 99%

Reflexed Compression Suture for the Management of Atonic Postpartum Hemorrhage with an Abnormally Adherent Placenta

et al. 2015

Gynecol Obstet Invest

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Background/Aims: Postpartum hemorrhage (PPH) is a life-threatening condition with a worldwide occurrence. The purpose of this study is to evaluate the efficacy and safety of a reflexed compression suture in controlling severe atonic PPH with placenta accreta. Methods: Eleven women with severe PPH due to uterine inertia or placenta accreta were administered the reflexed compression suture. The procedure was to reflex the fundus onto the anterior wall of the uterus for compressing hemostasis and to form a ‘belt-like' binding suture to reinforce the effectiveness of pressing the myometrium. Results: Ten of the 11 women (90.9%) were successfully treated with the suture, and the uterus was preserved. None of these patients developed complications related to this method. Only in 1 patient with placenta increta could the bleeding not be stanched, and a peripartum hysterectomy was performed. Two women had pregnancies after the suture. Conclusion: The reflexed compression suture is a simple, swift, safe and effective technique of controlling uterine atonic bleeding, particularly in patients with an abnormally adherent placenta. The advantage of not having to conduct a hysterotomy also lies in reducing the duration of anesthesia and blood loss.

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Circular isthmic-cervical sutures can be an alternative method to control peripartum haemorrhage during caesarean section for placenta praevia accreta

Abstract: Circular isthmic-cervical suture is a quick, safe, simple and effective technique for controlling peripartum haemorrhage during caesarean section for placenta praevia accreta.

Cited by 25 publications

References 2 publications

Funnel compression suture: a conservative procedure to control postpartum bleeding from the lower uterine segment

Funnel compression suture: a conservative procedure to control postpartum bleeding from the lower uterine segment

Can uterus be conserved in cases which unexpected placenta accreta is encountered during cesarean section ?

Reflexed Compression Suture for the Management of Atonic Postpartum Hemorrhage with an Abnormally Adherent Placenta

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