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Uterine cavity synechiae after hemostatic square suturing technique
Hsin-Hung Wu1, Guang-Perng Yeh
1Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan. 58436@cch.org.tw
Background:
A number of surgical techniques to control severe bleeding at cesarean delivery have been proposed, such as uterine artery ligation, hypogastric artery ligation, and uterine compression suturing.
Case:
A primigravida with severe postpartum hemorrhage and disseminated intravascular coagulopathy had multiple square sutures placed through the uterus. Serial sonographic follow-up studies revealed uterine synechiae with partial obstruction of menstrual flow. Hysteroscopy confirmed unabsorbed sutures in the uterine cavity.
Conclusion:
The use of multiple sutures through the uterus is effective to control postpartum hemorrhage but may lead to uterine synechiae.
