Symbol --suture to control atonic postpartum hemorrhage with placenta previa accreta
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- 作者：Guang Tai Li ; Xiao Fan Li ; Ya Jing Liu ; Wei Li…
- 关键词：Symbol --compression suture ; Uterine inertia ; Postpartum hemorrhages ; Lower uterine segment
- 刊名：Archives of Gynecology and Obstetrics
- 出版年：2015
- 出版时间：February 2015
- 年：2015
- 卷：291
- 期：2
- 页码：305-310
- 全文大小：295 KB
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文摘
Objective To evaluate the efficacy and safety of a symbol --compression suture technique in controlling severe atonic postpartum hemorrhage with placenta previa accreta during cesarean delivery. Methods Nine women with heavy postpartum bleeding from uterine inertia and placenta previa percret, which did not react to conventional initial management protocols, were underwent the suture in the shape of symbol --in China Meitan General Hospital. The suture procedure was to staple the anterior and posterior walls (of the lower uterine segment as well as corpus uterus) together using number 1 chromic catgut, with a cross at about 2?cm above the upper boundary of lower uterine segment. Results Symbol --compression suture was capable of stanching the postpartum hemorrhage immediately in all nine women. None of these patients developed complications related to this method. Subsequent pregnancies after the suture were occurred in two women and delivered with repeat cesarean section. Conclusion Symbol --compression suture is a simple, safe and highly effective technique to control the treatment-resistant uterine atonic bleeding, particularly in previous cesarean scar at lower segment and placenta previa accreta.