Department of Obstetrics and Gynecology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Department of Radiology, National Taiwan University Hospital Taipei, National Taiwan University College of Medicine, Taipei, Taiwan.
BJOG. 2019 Feb;126(3):412-417. doi: 10.1111/1471-0528.15410. Epub 2018 Aug 20.
Postpartum haemorrhage (PPH), especially resulting from placenta accreta spectrum (PAS), has become a worldwide concern in maternity care. We describe a novel method of uterine compression sutures (the 'Nausicaa' technique) as an alternative to hysterectomy for patients who have suffered from major PPH. We applied this technique in 68 patients with major PPH during caesarean section (including 43 patients with PAS, 20 patients with placenta praevia totalis, and five patients with uterine atony), and none of these patients required further hysterectomy. We conclude that our Nausicaa suture is a simple and feasible alternative to hysterectomy in patients suffering from major PPH.
产后出血（PPH），尤其是由胎盘植入谱系（PAS）引起的产后出血，已成为全球产妇保健关注的问题。我们介绍了一种新的子宫压迫缝合术（“Nausicaa”技术），用于治疗因严重 PPH 而遭受严重 PPH 的患者，这是一种替代子宫切除术的方法。我们在剖宫产术中对 68 例严重 PPH 患者（包括 43 例 PAS 患者、20 例胎盘前置患者和 5 例子宫收缩乏力患者）应用了该技术，这些患者均无需进一步进行子宫切除术。我们的结论是，我们的 Nausicaa 缝合术是治疗严重 PPH 患者的一种简单且可行的子宫切除术替代方法。
