A new surgical approach for the management of severe postpartum hemorrhage due to uterine atony: preliminary results in 27 cases

• Published in: Clinical and experimental obstetrics & gynecology Vol. 42; no. 2; p. 202
• Main Authors: Acar, A, Karatayli, R, Sayal, B, Elçi, A
• Format: Journal Article
• Language: English
• Published: Canada 01.01.2015
• Subjects: Adult; Aged; Female; Humans; Middle Aged; Placenta; Postpartum Hemorrhage - etiology; Postpartum Hemorrhage - surgery; Pregnancy; Pressure; Retrospective Studies; Suture Techniques; Sutures; Uterine Inertia; Uterus - surgery
• ISSN: 0390-6663
• DOI: 10.12891/ceog1811.2015

To demonstrate a new suturing technique that effectively reduces severe postpartum hemorrhage secondary to uterine atony. The study consisted of 27 patients with persistent postpartum bleeding due to uterine atony which was unresponsive to medical treatment. The patients were treated with ∞ compression sutures that passed through entire uterine wall on which the placenta was located and were knotted within uterine cavity. Demographic properties, complications, operative results are demonstrated. Uterine bleeding was controlled in 26 of 27 cases (%96.3). Total abdominal hysterectomy was performed in only one patient who had persistent incision site bleeding and disseminated intravascular coagulation. Uterine atony is an emergency and early intervention is necessary. As indicated by the preliminary results, the new technique effectively stopped bleeding in 96.3% of cases; no other techniques were carried out additionally. The technique is promising with properties as easy applicability, safety, and absence of major complications. A larger study is needed for further comparison of operative results.