‘Nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage

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...

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Autores principales: Shih, J‐C, Liu, K‐L, Kang, J, Yang, J‐H, Lin, M‐W, Yu, C‐U
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Surgical Technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585672/
https://www.ncbi.nlm.nih.gov/pubmed/30009547
http://dx.doi.org/10.1111/1471-0528.15410
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author Shih, J‐C
Liu, K‐L
Kang, J
Yang, J‐H
Lin, M‐W
Yu, C‐U
author_facet Shih, J‐C
Liu, K‐L
Kang, J
Yang, J‐H
Lin, M‐W
Yu, C‐U
author_sort Shih, J‐C
collection PubMed
description 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.
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spelling pubmed-65856722019-06-27 ‘Nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage Shih, J‐C Liu, K‐L Kang, J Yang, J‐H Lin, M‐W Yu, C‐U BJOG Surgical Technique 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. John Wiley and Sons Inc. 2018-08-20 2019-02 /pmc/articles/PMC6585672/ /pubmed/30009547 http://dx.doi.org/10.1111/1471-0528.15410 Text en © 2018 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Surgical Technique
Shih, J‐C
Liu, K‐L
Kang, J
Yang, J‐H
Lin, M‐W
Yu, C‐U
‘Nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage
title ‘Nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage
title_full ‘Nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage
title_fullStr ‘Nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage
title_full_unstemmed ‘Nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage
title_short ‘Nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage
title_sort ‘nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585672/
https://www.ncbi.nlm.nih.gov/pubmed/30009547
http://dx.doi.org/10.1111/1471-0528.15410
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