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Ring compression suture for controlling post-partum hemorrhage during cesarean section.

Guang-Tai Li1, Xiao-Fan Li2, Yun-He Zhang1

  • 1Department of Obstetrics and Gynecology, China Meitan General Hospital, Beijing, China.

The Journal of Obstetrics and Gynaecology Research
|May 11, 2018
PubMed
Summary

A novel ring compression suture (RCS) effectively controlled postpartum hemorrhage (PPH) in 12 cesarean section patients. This uterine compression technique offers a safe alternative to hysterectomy, with no observed complications.

Keywords:
post-partum hemorrhageprophylactic applicationring compression sutureuterine compression suture

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Innovation
  • Hemorrhage Management

Background:

  • Postpartum hemorrhage (PPH) is a leading cause of maternal mortality.
  • Uterine compression sutures are used to manage PPH, but can be associated with complications.
  • A new technique, the ring compression suture (RCS), was developed to mitigate these risks.

Purpose of the Study:

  • To introduce and evaluate the efficacy and safety of the novel ring compression suture (RCS) for managing postpartum hemorrhage (PPH).
  • To provide an alternative to peripartum hysterectomy in cases of severe PPH.
  • To assess the potential prophylactic use of RCS in high-risk pregnancies.

Main Methods:

  • The ring compression suture (RCS) technique was performed on 12 patients undergoing cesarean section for PPH.
  • Sutures were strategically placed below the uterosacral ligament, passed through the cervix, and secured externally on the lower abdomen.
  • The procedure involved bilateral suture placement and removal after 48 hours.

Main Results:

  • All 12 patients achieved hemostasis following RCS.
  • No complications directly related to the RCS procedure were observed.
  • Two patients experienced successful subsequent pregnancies, indicating preserved fertility.

Conclusions:

  • The ring compression suture (RCS) is a safe and effective method for controlling postpartum hemorrhage (PPH).
  • RCS serves as a viable alternative to peripartum hysterectomy.
  • The technique holds potential for prophylactic application in preventing PPH.