Vertical Compression Sutures with Contrivances
Postpartum hemorrhage is one of the leading causes of maternal morbidity and mortality. Several hemostatic surgical techniques during cesarean section as typified by B-Lynch sutures and Hyman sutures (see Chap. 2) have been reported previously (B-Lynch et al., Br J Obstet Gynecol 104: 372–375, 1997; Hayman et al., Obstet Gynecol 99: 502–506, 2002). Among them, vertical compression sutures (Makino et al., Aust N Z J Obstet Gynecol 52: 290–292, 2012) are an effective and easy way of achieving hemostasis during cesarean section and now cited in BJOG Guidelines (Mavrides et al., BJOG 124: e106–e149, 2017). However, in particular cases, it is difficult to achieve hemostasis only with the compression sutures. In such cases, it needed contrivances to achieve hemostasis and to act against complication as practical applications of compression sutures. In this chapter, modifications of vertical compression sutures are described.
KeywordsComplication Compression sutures Contrivance Enclosing sutures Medial and wider compression sutures Modification Uterine balloon tamponade