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

Abstract

Shigeki Matsubara, Tomoyuki Kuwata, Takahiro Yoshiba, Rie Usui and Akihide Ohkuchi

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.