Double vertical compression sutures: A novel conservative approach to managing post‐partum haemorrhage due to placenta praevia and atonic bleeding

Makino, Shintaro; Tanaka, Toshitaka; Yorifuji, Takashi; Koshiishi, Taro; Sugimura, Motoi; Takeda, Satoru

doi:10.1111/j.1479-828x.2012.01422.x

Cited by 29 publications

(26 citation statements)

References 9 publications

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“…The main differences being the figure at which the suture is applied, the numbers of longitudinal and/or transverse sutures used, and whether or not the uterine cavity is penetrated. 23 In the literature, some series have described compression sutures solely used for placenta praevia/accreta, 11,14,18,24 while others detailed their use exclusively for atonic uteruses, 19,20 and still others referred to application of the technique to all aetiologies. 4,21 Apart from compressing the uterine body in uterine atony, the original paper on the B-Lynch suture also advocated its use for placenta praevia.…”

Section: Discussionmentioning

confidence: 99%

Uterine compression sutures for management of severe postpartum haemorrhage: a 5-year audit

Chai

2013

Hong Kong Med J

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Objectives:To audit the use of compression sutures for the management of massive postpartum haemorrhage and compare outcomes to those documented in the literature.Design: Retrospective study. • In an unselected case series audit in a regional obstetric training unit, the efficacy of uterine compression sutures appeared to be lower than that reported in the literature. Implications for clinical practice or policy • Uterine compression sutures should be adopted as part of the management of severe postpartum haemorrhage in local obstetric units. Contingent treatment protocols for further interventions should be available if compression sutures fail.

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Section: Discussionmentioning

confidence: 99%

Uterine compression sutures for management of severe postpartum haemorrhage: a 5-year audit

Chai

2013

Hong Kong Med J

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“…This technique was used for three women with atonic bleeding after CS for placenta previa, all achieving hemostasis . A needle transfixes the cervico‐isthmic site from anterior to posterior, and then posterior to anterior, with the thread tied anteriorly.…”

Section: Methodsmentioning

confidence: 99%

Uterine compression sutures for postpartum hemorrhage: an overview

Matsubara

Yano

Ohkuchi

et al. 2013

Acta Obstet Gynecol Scand

130

136

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In 1997, B-Lynch pioneered the use of uterine compression sutures for postpartum hemorrhage. Since then, some researchers, including ourselves, have devised various uterine compression sutures. High-level evidence has not been demonstrated as to whether compression sutures achieve better and safer hemostasis for postpartum hemorrhage than other methods, and, if they do, whether one suture is more efficient and safer than another. However, generally speaking, uterine compression sutures have achieved hemostasis while preserving fertility in many women and thus their efficacy and safety have been timetested. Each suture has both merits and drawbacks: obstetricians must be aware of the fundamental characteristics of various sutures. In this review, we summarize the technical procedures, efficacy, safety and complications of various uterine compression sutures. We add our own experiences and opinions where necessary.

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“…Uterine blood flow via collateral arteries seemed much more than early pregnancy, nevertheless, it could not prevent the uterine necrosis. Therefore, because UAE tend to choose for a woman who desire for a next pregnancy, we recommend that UAE should be limited and performed only for the cases that could not accomplished hemostasis even with other methods such as compression sutures, 9) balloon tamponade 10) and so on. When those attempts had failed, the situation would be suitable for UAE.…”

Section: B Amentioning

confidence: 99%

Embrittlement of uterus after uterine artery embolization: a case of uterine perforation

Sano

Takeda

Kuroda

et al. 2016

Hypertens Res Pregnancy

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Uterine artery embolization (UAE) is a common treatment for postpartum hemorrhage, however, the influences on uterus have yet to be uncertain. Here, we present a case of uterine embrittlement and perforation after UAE. A 30-year-old primipara received UAE for postpartum hemorrhage. Enhanced magnetic resonance imaging (MRI) after UAE showed lack of enhancement on uterine fundus. She complained hypomenorrhea after UAE, thus hysteroscopy was performed for intrauterine synechia. During the surgery, uterine perforation, which identical with the ischemic part on MRI, was found. It was repaired laparoscopically together with vulnerable surrounded area. With the case, because UAE tend to choose for woman who desire for the next pregnancy, we recommend that UAE should be limited and performed only for cases that could not accomplished hemostasis even with other methods. When UAE was chosen reluctantly, uterine myometrium ischemia should be monitored by contrast enhanced MRI.

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Double vertical compression sutures: A novel conservative approach to managing post‐partum haemorrhage due to placenta praevia and atonic bleeding

Cited by 29 publications

References 9 publications

Uterine compression sutures for management of severe postpartum haemorrhage: a 5-year audit

Uterine compression sutures for management of severe postpartum haemorrhage: a 5-year audit

Uterine compression sutures for postpartum hemorrhage: an overview

Embrittlement of uterus after uterine artery embolization: a case of uterine perforation

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