'Nausicaa' compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage.
Where this comes from
- Record sourced from PubMed, PMID 30009547.
- Also identified by DOI 10.1111/1471-0528.15410 and PMC identifier 6585672.
- Licence recorded as CC BY-NC.
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Abstract
Postpartum haemorrhage (PPH), especially resulting from placenta accreta spectrum (PAS), has become a worldwide concern in maternity care. We describe a novel method of uterine compression sutures (the 'Nausicaa' technique) as an alternative to hysterectomy for patients who have suffered from major PPH. We applied this technique in 68 patients with major PPH during caesarean section (including 43 patients with PAS, 20 patients with placenta praevia totalis, and five patients with uterine atony), and none of these patients required further hysterectomy. We conclude that our Nausicaa suture is a simple and feasible alternative to hysterectomy in patients suffering from major PPH.
Medical subject headings
- Cesarean Section
- Placenta Accreta
- Placenta Previa
- Postpartum Hemorrhage
- Suture Techniques
- Uterine Inertia