Uterine compression suture against impending recurrence of uterine inversion immediately after laparotomy repositioning

• Published in: The journal of obstetrics and gynaecology research Vol. 35; no. 4; pp. 819 - 823
• Main Authors: Matsubara, Shigeki, Yano, Hitoshi, Taneichi, Akiyo, Suzuki, Mitsuaki
• Format: Journal Article
• Language: English
• Published: Melbourne, Australia Blackwell Publishing Asia 01.08.2009
• Subjects: Acute Disease; Adult; B-Lynch suture; Female; Humans; Laparotomy - adverse effects; Pregnancy; Recurrence; Suture Techniques; uterine atony; uterine compression suture; uterine inversion; Uterine Inversion - surgery
• ISSN: 1341-8076; 1447-0756
• DOI: 10.1111/j.1447-0756.2008.01011.x

Uterine compression suture to prevent impending recurrence of uterine inversion after laparotomy repositioning has not been reported previously. A 28‐year‐old primigravid woman demonstrated uterine inversion. Although Huntington's procedure had successfully repositioned the uterus, acute recurrence of inversion with uterine atony appeared to be impending during the surgery. We applied modified uterine compression sutures, which prevented the recurrence of inversion and achieved complete hemostasis. Three years later, the patient became pregnant and vaginally delivered a term infant. Thereafter, uterine inversion recurred, and was repositioned manually. Uterine compression suture may be of use not only for hemostasis for postpartum hemorrhage, but also for prophylaxis against acute recurrence of uterine inversion.