Multiple square sutures for postpartum hemorrhage: results and hysteroscopic assessment

Investigation of perioperative complications associated with use of uterine compression sutures

“…Severe complications, such as uterine necrosis and pyometra, were not observed in any group. Different UCS placement methods have been proposed, and various outcomes and associated complications have been reported . To our knowledge, however, no previous studies have compared postoperative complications between women treated with and those not treated with UCSs.…”

“…Previous studies have reported the occurrence of intrauterine adhesions after uterine compression suturing . For example, Alouini et al .…”

Risk of postpartum uterine synechiae following uterine compression suturing during postpartum haemorrhage

“…8,23 The incidence of IUS in this study was 18 18 These high figures may be attributed to the study design, which included women who delivered mainly by caesarean section, and in whom multiple and combined haemostatic techniques to control PPH were utilised. As such, we excluded women with a history of intrauterine infection or those who had undergone any intrauterine manipulation.…”

“…9,10,12,15,20,21 Hysteroscopy is considered as the gold standard for uterine cavity assessment and has great efficacy in diagnosing IUS because it can confirm the presence, extent and degree of adhesions. 27 Among the previously published data, only Alouini et al 18 reported the use of a standardised classification system for identifying the extent of IUS. 28 Various classification systems have been proposed or intrauterine adhesions, including those by March et al, 29 the European Society classification, 30 American Fertility Society classification, 25 Valle and Sciarra classification, 31 Donnez and Nisolle classification 32 and Nasr et al classification.…”

“…7 Long-term follow-up date of women following uterine suturing is needed. 3,[18][19][20][21][22][23][24] In this study, we evaluated the risk of developing uterine synechiae in women who underwent an isolated uterine compression suturing as a management technique for major PPH. 3,[18][19][20][21][22][23][24] In this study, we evaluated the risk of developing uterine synechiae in women who underwent an isolated uterine compression suturing as a management technique for major PPH.…”