Multiple interrupted uterine transverse compression sutures with uterine artery ligation: A simple technique for intraoperative bleeding from abnormal placentation and atonic lower uterine segment

Reviews in Vascular Medicine Pub Date : 2017-06-01 DOI:10.1016/j.rvm.2017.04.004

Ahmed Samy El-Agwany

{"title":"Multiple interrupted uterine transverse compression sutures with uterine artery ligation: A simple technique for intraoperative bleeding from abnormal placentation and atonic lower uterine segment","authors":"Ahmed Samy El-Agwany","doi":"10.1016/j.rvm.2017.04.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Fertility preserving surgery is rarely performed in placenta accreta and atonic thinned out lower uterine segment is frequently encountered.</p></div><div><h3>Aim</h3><p>To evaluate our new method of uterine conservation in abnormal placentation and oozing from the lower uterine segment.</p></div><div><h3>Methods</h3><p>Multiple interrupted uterine plicating transverse compression sutures with combined multiple level uterine artery ligation were performed over 24 cases.</p></div><div><h3>Results</h3><p><span>Six cases were excluded for hemodynamic instability and placenta percreta. It was sucessful in all cases of thinned out lower segment and </span>placenta previa but failed in two cases of placenta accreta.</p></div><div><h3>Conclusion</h3><p>Conservative management for atonic lower uterine segment and abnormal placentation through modified transverse B-lynch suture can be performed with high success and conserving female fertility.</p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2017.04.004","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reviews in Vascular Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212021117300218","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 2

Abstract

Introduction

Fertility preserving surgery is rarely performed in placenta accreta and atonic thinned out lower uterine segment is frequently encountered.

Aim

To evaluate our new method of uterine conservation in abnormal placentation and oozing from the lower uterine segment.

Methods

Multiple interrupted uterine plicating transverse compression sutures with combined multiple level uterine artery ligation were performed over 24 cases.

Results

Six cases were excluded for hemodynamic instability and placenta percreta. It was sucessful in all cases of thinned out lower segment and placenta previa but failed in two cases of placenta accreta.

Conclusion

Conservative management for atonic lower uterine segment and abnormal placentation through modified transverse B-lynch suture can be performed with high success and conserving female fertility.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

子宫动脉结扎术中多次中断子宫横压缝合术:术中胎盘异常及子宫下段无张力出血的简单方法

保留生育能力的手术很少用于胎盘增生，子宫下段无张力变薄是常见的。目的探讨子宫下段异常胎盘及渗液的保存新方法。方法对24例患者行多段间断子宫折叠横压缝合联合多段子宫动脉结扎术。结果6例因血流动力学不稳定和percreta胎盘排除。下节段变薄和前置胎盘均成功，2例胎盘增生失败。结论改良B-lynch横缝保守治疗子宫下段无张力及异常胎盘成功率高，可有效保护女性生育能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Reviews in Vascular Medicine

自引率

0.00%

发文量