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Published on: September 12, 2025
A new uterine suture technique for postpartum hemorrhage
A Cardone1, R Zarcone, S Visconti
1Department of Gynecology, Obstetrics and Neonatology, Second University of Naples, Naples, Italy.
Minerva Ginecologica
|June 20, 2007
Summary
Postpartum hemorrhage can be effectively treated with uterine compressive sutures, a fertility-preserving surgical alternative to hysterectomy for uterine atony. This technique offers immediate bleeding control and allows for future pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Surgical Innovation
- Maternal Health
Background:
- Postpartum hemorrhage (PPH) remains a significant cause of maternal mortality and morbidity worldwide.
- Conservative surgical interventions are considered before hysterectomy for intractable PPH.
- Uterine atony is a common cause of PPH requiring prompt management.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel uterine compressive suture technique for treating PPH secondary to uterine atony.
- To present a fertility-sparing surgical option as an alternative to hysterectomy.
Main Methods:
- A technique involving three transverse sutures applied to the entire uterine wall bilaterally was employed.
- The procedure was performed on four patients experiencing PPH due to uterine atony unresponsive to medical therapy.
- Outcomes including hemostasis, menstrual cycle recovery, subsequent fertility, and postoperative complications were assessed.
Main Results:
- Immediate cessation of bleeding was achieved in all four patients using the compressive sutures.
- All patients experienced normal menstrual cycles post-procedure.
- Subsequent pregnancies occurred in the treated patients.
- No postoperative complications were reported.
Conclusions:
- Uterine compressive sutures represent an effective and safe alternative to hysterectomy for managing PPH from uterine atony.
- This surgical method is simple, rapid, and crucially preserves patient fertility.
- The technique offers a valuable option for women desiring future pregnancies after PPH.
