1st Department of Obstetrics and Gynecology, Istituto Ostetrico e Ginecologico Luigi Mangiagalli, University of Milan, Milan, Italy.
Gynecol Obstet Invest. 2012;73(4):314-20. doi: 10.1159/000335409. Epub 2012 Mar 22.
To assess the efficacy of a uterine compression suture technique in controlling hemorrhage after removal of complete placenta previa during cesarean section.
This prospective study was performed in a tertiary referral hospital and included 18 patients with postpartum hemorrhage following removal of complete placenta previa during elective cesarean section. All 18 patients underwent bilateral anteroposterior compression suture of the lower uterine segment. All patients were followed postpartum for evaluation of uterine cavity and menstrual cycles.
Anteroposterior compressive suture of the lower uterine segment achieved immediate complete hemostasis in all 18 patients. No surgical complication was observed. All patients recovered normal menstrual cycles. Normal patency of the uterine cavity was documented with sonohysterography in all patients at the 6-month follow-up visit.
This quick and simple suture technique seems to be effective in stopping hemorrhage following complete placenta previa removal during cesarean section. Normal patency of the uterine cavity seems not to be impaired at medium-term follow-up.
评估子宫压迫缝合术在剖宫产术中控制完全性前置胎盘娩出后出血的疗效。
这是一项在三级转诊医院进行的前瞻性研究，共纳入 18 例择期剖宫产术中发生完全性前置胎盘娩出后产后出血的患者。所有患者均行双侧子宫下段前后壁压迫缝合术。所有患者均在产后进行随访，评估子宫腔和月经周期。
18 例患者的子宫下段前后壁压迫缝合均立即达到完全止血。未观察到手术并发症。所有患者均恢复正常月经周期。所有患者在 6 个月随访时的经阴道超声检查均显示子宫腔通畅。
这种快速简单的缝合技术似乎可有效控制剖宫产术中完全性前置胎盘娩出后的出血。在中期随访中，子宫腔通畅性似乎未受到影响。
