Uterine Sandwich Suture: The Concept of “Role Sharing” Is Important

Uterine compression suture and intrauterine hemostatic balloon are important procedures to achieve hemostasis for obstetric hemorrhage. A combined use of these two, with B-Lynch suture + Bakri balloon being the most often employed ones, is referred to as a “uterine sandwich”, which is an effective hemostatic procedure. Fundamentally, the former and latter stop bleeding from the uterine body and lower uterine segment, respectively. This represents the concept of “role sharing” for hemostasis. Recognizing this concept is of practical importance.