Jomaa Sami, Alhajjeh Martha, Alhasan Walaa, Alrakik Lutfia, Adwan Dema
General Surgery Department, Damascus Hospital, Damascus, Syria.
University Hospital of Obstetrics and Gynecology, Damascus University, Damascus, Syria.
J Surg Case Rep. 2025 Jul 18;2025(7):rjaf545. doi: 10.1093/jscr/rjaf545. eCollection 2025 Jul.
Uterine compression suture is an alternative choice for managing postpartum hemorrhage and preserving the uterus. However, the required sutures and needles may not be available in developing countries. The 70 mm round-bodied needle was not available in our country. Therefore, we used a 60 mm straight needle mounted to a No. 2/0 Nylon suture and a 40 mm round-bodied needle mounted to a No. 2 Vicryl suture. The free ends were tied effectively with three knots to ensure stability, and the straight needle was used to penetrate the uterus. By using this modification, we took advantage of the length of the straight needle to pass through the uterine muscle at every entry/exit point, which was something that could not be achieved by the small, round-bodied needle (40 mm) available in our hospital. Our modification showed a good prognosis and subsequent successful pregnancy.
子宫压迫缝合术是治疗产后出血和保留子宫的一种替代选择。然而，发展中国家可能没有所需的缝线和缝针。我国没有70毫米的圆体缝针。因此，我们使用了安装在2/0号尼龙缝线上的60毫米直针和安装在2号薇乔缝线上的40毫米圆体缝针。游离端用三个结有效系紧以确保稳定性，并用直针穿透子宫。通过这种改良，我们利用直针的长度在每个进出点穿过子宫肌层，这是我院现有的小的圆体缝针（40毫米）无法做到的。我们的改良显示出良好的预后和随后的成功妊娠。
