Multiple interrupted uterine transverse compression sutures with uterine artery ligation: A simple technique for intraoperative bleeding from abnormal placentation and atonic lower uterine segment

Abstract

Introduction

Fertility preserving surgery is rarely performed in placenta accreta and atonic thinned out lower uterine segment is frequently encountered.

Aim

To evaluate our new method of uterine conservation in abnormal placentation and oozing from the lower uterine segment.

Methods

Multiple interrupted uterine plicating transverse compression sutures with combined multiple level uterine artery ligation were performed over 24 cases.

Results

Six cases were excluded for hemodynamic instability and placenta percreta. It was sucessful in all cases of thinned out lower segment and placenta previa but failed in two cases of placenta accreta.

Conclusion

Conservative management for atonic lower uterine segment and abnormal placentation through modified transverse B-lynch suture can be performed with high success and conserving female fertility.