Laparoscopic removal of uterine vertical compression sutures

Publication date: Available online 15 May 2016 Source:Gynecology and Minimally Invasive Therapy Author(s): Jun Takeda, Jun Kumakiri, Shintaro Makino, Atsuo Itakura, Satoru Takeda Uterine compression suturing is a relatively easy and effective way of hemostasis during cesarean section and is becoming widely accepted. However, complications such as necrosis or synechiae have been reported. We firstly report a case of laparoscopic removal of vertical compression sutures and discuss its benefits and improvements to be made. This case report is of a 32-year-old woman with placenta previa who received uterine vertical compression sutures for controlling massive bleeding during cesarean section. Because she complained of unbearable pelvic pain, laparoscopic compression suture removal was performed. Her pain was relieved after the threads were removed, suggesting that the compression sutures were the cause of her pelvic pain due to uterine ischemia. Although the risks of reoperation during the early postpartum period still exist, compression suture thread removal should be considered in cases of suspected uterine ischemia.
Source: Gynecology and Minimally Invasive Therapy - Category: OBGYN Source Type: research