A New And Feasible Uterine Compression Suture Technique İn Uterine Atony To Save Mothers From Postpartum Hemorrhage

dc.authorid31933en_US
dc.authorid35068en_US
dc.contributor.authorArıkan, İlker
dc.contributor.authorSel, Görker
dc.date.accessioned2021-04-20T08:31:33Z
dc.date.available2021-04-20T08:31:33Z
dc.date.issued2021
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractBackground: Postpartum hemorrhage (PPH) is one of the emergency situations of obstetrics practice that constitutes of 1 to 5% of vaginal and cesarean deliveries. Uterine atony is the number one cause of PPH and is responsible for at least 75% of PPH cases. Uterine compression sutures have been regarded as an effective method in PPH cases, as well as preserving fertility by preserving the uterus. Aims: The main purpose of this study was to report on our results with a new uterine compression suture technique that was developed by us. Subjects and Methods: In this study we included all women who needed uterine compression sutures because of uterine atony while cesarean section from January 2014 to December 2018. Fifteen cases with PPH with uterine atony were reported, who were treated with our uterine compression suture technique after conservative medical and uterine massage treatment failure. Results: All of the cases in this study were managed successfully namely none of the patients needed a hysterectomy or reoperation because of bleeding again. One week, one month, three months later all patients were followed up. Six months later 11 patients were examined, four patients lost to follow-up, but they were reached by phone since they were outside of the city, they reported no complaints. Ultrasound examination was performed to follow up patients. Short-term follow-up revealed no complications such as pyometra, endometritis, reoperation, amenorrhea, or uterine necrosis. Conclusions: We described our practice with our uterine compression suture that is easy to learn and apply. All of the cases that participated in our study showed improvement to the compression sutures, so no other surgical interventions were applied. The same suture technique was applied by only one physician. This is a feasible and easy way to stop bleeding in uterine atony and in uterine preservation, especially in rural areas when help may not be available in case of complications.en_US
dc.identifier.citationNigerian Journal of Clinical Practice ¦ Volume 24 ¦ Issue 3 ¦ March 2021en_US
dc.identifier.doi10.4103/njcp.njcp_140_20
dc.identifier.issn2168-8184
dc.identifier.pmid33723106en_US
dc.identifier.scopus2-s2.0-85102912887en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.urihttps://doi.org/10.4103/njcp.njcp_140_20
dc.identifier.wosWOS:000631901500006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.subjectCesarean sectionen_US
dc.subjectCompression sutureen_US
dc.subjectPostpartum hemorrhageen_US
dc.subjectUterine atonyen_US
dc.titleA New And Feasible Uterine Compression Suture Technique İn Uterine Atony To Save Mothers From Postpartum Hemorrhageen_US
dc.typeArticleen_US

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