IMR Press / CEOG / Volume 42 / Issue 2 / DOI: 10.12891/ceog1811.2015

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
A new surgical approach for the management of severe postpartum hemorrhage due to uterine atony: preliminary results in 27 cases
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1 Necmettin Erbakan University Meram Medical School, Department of Obstetrics and Gynecology, Konya (Turkey)
Clin. Exp. Obstet. Gynecol. 2015, 42(2), 202–207; https://doi.org/10.12891/ceog1811.2015
Published: 10 April 2015
Abstract

Purpose of investigation: To demonstrate a new suturing technique that effectively reduces severe postpartum hemorrhage secondary to uterine atony. Materials and Methods: 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. Results: 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. Conclusion: 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.
Keywords
Postpartum Hemorrhage
New Surgical Approach
Compression suture
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