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Uterine compression suture against impending recurrence of uterine inversion immediately after laparotomy repositioning
Author(s) -
Matsubara Shigeki,
Yano Hitoshi,
Taneichi Akiyo,
Suzuki Mitsuaki
Publication year - 2009
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2008.01011.x
Subject(s) - medicine , uterine inversion , laparotomy , fibrous joint , surgery , compression (physics) , inversion (geology) , uterus , seismology , geology , materials science , composite material , tectonics
Uterine compression suture to prevent impending recurrence of uterine inversion after laparotomy repositioning has not been reported previously. A 28‐year‐old primigravid woman demonstrated uterine inversion. Although Huntington's procedure had successfully repositioned the uterus, acute recurrence of inversion with uterine atony appeared to be impending during the surgery. We applied modified uterine compression sutures, which prevented the recurrence of inversion and achieved complete hemostasis. Three years later, the patient became pregnant and vaginally delivered a term infant. Thereafter, uterine inversion recurred, and was repositioned manually. Uterine compression suture may be of use not only for hemostasis for postpartum hemorrhage, but also for prophylaxis against acute recurrence of uterine inversion.