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

J. C. Shih*, K. L. Liu, J. Kang, J. H. Yang, M. W. Lin, C. U. Yu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)412-417
Number of pages6
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Volume126
Issue number3
DOIs
StatePublished - Feb 2019

Keywords

  • Placenta accreta spectrum
  • placenta praevia
  • postpartum haemorrhage
  • uterine atony
  • uterine compression suture
  • uterus preserving

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