alexa Uterine Compression Suture for Cesarean Hysterectomy: P
ISSN: 2165-7920

Journal of Clinical Case Reports
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Special Issue Article

Uterine Compression Suture for Cesarean Hysterectomy: Possible Applications to Conditions other than Atonic Bleeding

Shigeki Matsubara*, Tomoyuki Kuwata, Takahiro Yoshiba, Rie Usui and Akihide Ohkuchi
Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan
Corresponding Author : Margarida Shigeki Matsubara
Department of Obstetrics and Gynecology
Jichi Medical University, 3311-1 Yakushiji
Shimotsuke, Tochigi 329-0498, Japan
Tel: +81-285-58-7376
Fax: +81-285-44-850
E-mail: [email protected]
Received February 25, 2014; Accepted March 25, 2014; Published March 27, 2014
Citation: Matsubara S, Kuwata T, Yoshiba T, Usui R, Ohkuchi A (2014) Uterine Compression Suture for Cesarean Hysterectomy: Possible Applications to Conditions other than Atonic Bleeding. J Clin Case Rep S1:002. doi:10.4172/2165-7920.S1-002
Copyright: © 2014 Matsubara S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided theoriginal author and source are credited.
 

Abstract

Uterine compression suture (UCS) has become widely acknowledged as an effective measure to achievehemostasis mainly for atonic bleeding. We described a case in whom UCS was effective in performing cesarean hysterectomy. A 28-year-old woman after term planned CS due to placenta previa had severe postpartum hemorrhage. Unresponsive to uterotonics, UCS was performed, which did not achieve hemostasis, with bleeding amount of 7000 mL. Peripartum (cesarean) hysterectomy was performed without any difficulty. UCS compressed the uterus or at least prevented the uterine cavity from filling with a large amount of blood. This reduced the amount of bleeding during the surgery. UCS may also be useful for other conditions such as prophylaxis of uterine re-inversion or prophylaxis of bleeding after perimortem cesarean section. Thus, UCS may be more widely applicable than previously considered.

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