Hemostatic cervical suturing technique for management of uncontrollable postpartum haemorrhage originating from the cervical canal

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Kafali H., Demir N., Soylemez F., Yurtseven S.

EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, vol.110, no.1, pp.35-38, 2003 (SCI-Expanded)

• Publication Type: Article / Article
• Volume: 110 Issue: 1
• Publication Date: 2003
• Doi Number: 10.1016/s0301-2115(03)00104-0
• Journal Name: EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
• Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
• Page Numbers: pp.35-38
• Keywords: cervical suturing, postpartum haemorrhage, prostaglandins, LACERATION, MORTALITY
• Ankara University Affiliated: No

Abstract

Objective: To evaluate the efficacy and safety of a novel cervical suturing technique for management of uncontrollable postpartum haemorrhage originating from the cervical canal. Study design: Cervical suturing was performed on three women to control intractable postpartum haemorrhage originating from the cervical canal and not responding to classic management. Haemostatic cervical Suturing by using no. I chromic catgut is a new surgical technique which approximates anterior and posterior cervical lips. It controls cervical haemorrhage by attachment and compression of the haemorrhage site of the cervical lips and lower uterine segment. Results: The procedure was effective in all cases and hysterectomy was not needed in any case. No complication occurred and the survival rate was 100%. The procedure required no special expertise or extraordinary equipment. Conclusion: Cervical suturing technique for management of postpartum haemorrhage originating from the cervical canal is an easy, safe and highly effective conservative surgical technique that may be alternative to hysterectomy. (C) 2003 Elsevier Ireland Ltd. All rights reserved.