Skip to main content
  • 333 Accesses

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. B-Lynch C, Coker A, Lawal AH, Abu J, Cowen MJ. The B-Lynch surgical technique for the control of massive postpartum hemorrhage: an alternative to hysterectomy? Five cases reported. Br J Obstet Gynaecol. 1997;104:372–5.

    Article  CAS  Google Scholar 

  2. Doumouchtsis SK, Nikolopoulos K, Talaulikar V, Krishna A, Arulkumaran S. Menstrual and fertility outcomes following the surgical management of postpartum haemorrhage: a systematic review. BJOG. 2014;121:382–8.

    Article  CAS  Google Scholar 

  3. Joshi VM, Shrivastava M. Partial ischemic necrosis of the uterus following a uterine brace compression suture. BJOG. 2004;111:279–80.

    Article  Google Scholar 

  4. Wu HH, Yeh GP. Uterine cavity synechiae after hemostatic square suturing technique. Obstet Gynecol. 2005;105:1176–8.

    Article  Google Scholar 

  5. Treloar EJ, Anderson RS, Andrews HS, Bailey JL. Uterine necrosis following B-Lynch suture for primary postpartum hemorrhage. BJOG. 2006;113:486–8.

    Article  CAS  Google Scholar 

  6. Gottlieb AG, Pandipati S, Davis KM, Gibbs RS. Uterine necrosis: a complication of uterine compression sutures. Obstet Gynecol. 2008;112:429–31.

    Article  Google Scholar 

  7. Poujade O, Grossetti A, Mougel L, Ceccaldi PF, Ducarme G, Luton D. Risk of synechiae following uterine compression sutures in the management of major postpartum hemorrhage. BJOG. 2011;118:433–9.

    Article  CAS  Google Scholar 

  8. Takeda J, Kumakiri J, Makino S, Itakura A, Takeda S. Laparoscopic removal of uterine vertical compression sutures. Gynecol Minim Invasive Ther. 2017;6:73–5.

    Article  Google Scholar 

  9. Aboulfalah A, Fakhir B, Ait Ben Kaddour Y, Asmouki H, Soummani A. A new removable uterine compression by a brace suture in the management of severe postpartum hemorrhage. Front Surg. 2014;17:43.

    Google Scholar 

  10. Zhang ZW, Liu CY, Yu N, Guo W. Removable uterine compression sutures for postpartum hemorrhage. BJOG. 2015;122:429–33.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jun Takeda .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Takeda, J. (2020). Compression Sutures Removal. In: Takeda, S., Makino, S. (eds) Compression Sutures for Critical Hemorrhage During Cesarean Section. Springer, Singapore. https://doi.org/10.1007/978-981-32-9460-8_5

Download citation

  • DOI: https://doi.org/10.1007/978-981-32-9460-8_5

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-32-9459-2

  • Online ISBN: 978-981-32-9460-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics