The mechanisms of achieving hemostasis with uterine compression sutures are compressing the bleeding site and reduction of uterine blood flow. Thus, when the excessive reduction of uterine blood flow happened, uterine ischemia or necrosis may occur as the complications. In such a case, local pain which is difficult to control with general analgesics such as non-steroidal anti-inflammatory drugs and acetaminophen may occur. As a countermeasure, removing uterine compression sutures should be considered. Specialized suturing technique assuming threads removal has been reported, but laparoscopic surgery should be considered as it can accommodate any compression sutures and is less invasive than abdominal surgery.
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