New dedicated blunt straight needles and sutures for uterine compression sutures: a retrospective study and literature review

Abstract

BackgroundWe developed a dedicated blunt straight needle with No. 2 polydioxanone sutures (2-Monodiox®) for uterine compression sutures (UCSs) and aimed to assess the outcomes and complication rates of UCSs for postpartum hemorrhage by comparing with commercially available needle and suture types.MethodsA retrospective analysis was performed between January 2010 and February 2018. During the study period, two types of commercially available sutures and 2-Monodiox® were used. PubMed, MEDLINE, and Scopus databases were searched for English articles published between January 1997 and May 2017 using search terms related to the suture and needle types for UCSs to discuss the dedicated needles and sutures for UCS.ResultsThe analysis included 47 cases of UCSs for the uterine body with three suture types (No. 0 polydioxanone, 7 cases; No. 1 poliglecaprone 25, 21 cases; and No. 2 polydioxanone, 19 cases). B-Lynch suture using No. 0 sutures was associated with a significantly lower uterine preservation rate than those with Nos. 1 and 2 sutures (42.9% vs. 95.2 and 89.5%, respectively; p < 0.01). A modified Hayman suture technique was performed using 2-Monodiox® sutures, which achieved a similar uterine preservation rate compared with B-Lynch suture using No. 1 poliglecaprone 25 sutures. No patients developed severe complications. The literature review showed that no dedicated sutures have developed for UCSs. Three dedicated needles for UCSs have been developed, and 2-Monodiox® is the first dedicated blunt straight needle for UCSs.ConclusionOur data showed that No. 0 sutures should not be used for B-Lynch suture. The uterine preservation rate is similar for 2-Monodiox® with modified Hayman suture and No. 1 poliglecaprone 25 sutures with B-Lynch suture, without the occurrence of severe complications.Electronic supplementary materialThe online version of this article (10.1186/s12893-019-0495-7) contains supplementary material, which is available to authorized users.

<p>Obstetric Outcomes of Pregnancy After Uterine Artery Embolization</p>

“…4 Treatment strategies include pharmacological measures (eg, oxytocin administration), intrauterine tamponade (eg, Bakri balloon or Sengstaken-Blakemore tube), uterine artery ligation, hysterectomy, uterine compression sutures, and uterine artery embolization (UAE). [5][6][7][8][9][10][11][12] A few publications have shown higher rates of preterm birth, fetal growth restriction (FGR), and placenta accreta spectrum (PAS) among women who became pregnant after UAE for PPH. However, these obstetric outcomes were not investigated with non-UAE cases in these studies.…”

Laparoscopic Removal of Modified Vertical Uterine Compression Sutures due to Postoperative Focal Pain

“…2 Polydioxanone (2-Monodiox), which is novel dedicated blunt straight needles. 4 The retrospective study was suggested that the uterine preservation rate was similar for 2-Monodiox with modified Hayman suture and No.1 poliglecaprone 25 sutures with B-Lynch suture without the occurrence of severe complications. 4 We modified both the needle type and the thread color.…”

“…4 The retrospective study was suggested that the uterine preservation rate was similar for 2-Monodiox with modified Hayman suture and No.1 poliglecaprone 25 sutures with B-Lynch suture without the occurrence of severe complications. 4 We modified both the needle type and the thread color. As a straight needle could penetrate the anteroposterior uterine wall, care was taken during the needle handling.…”

“…To the best of our knowledge, at least four case reports described the use straight needles for uterine compression sutures, but did not discuss the effectiveness of this method, [5][6][7][8] while recently one retrospective study was first reported the use of dedicated blunt straight needles and sutures for uterine compression sutures of modified Hayman suture. 4 Matsuzaki et al used No. 2 Polydioxanone (2-Monodiox), which is novel dedicated blunt straight needles.…”

“…Recently, a retrospective study, in which novel dedicat-ed blunt straight needle and sutures for uterine compression were used, was reported. 4 Herein, we describe a case of laparoscopic removal of modified vertical uterine compression sutures due to postoperative local pain, and discuss the needle type, suturing, and focal pain control for compression sutures together with the previously reported study.…”