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Volume 3
Journal of Reproductive Biology and Endocrinology
WCGO2019
May 13-14 , 2019
Gynecology and Obstetrics
May 13-14 , 2019 Tokyo, Japan
2
nd
World Congress on
Uterine compression sutures are safe and effective in preventing hysterectomy
Werner Stein
Medical Center, Germany
Objective:
To examine whether uterine compression sutures are safe and effective in preventing hysterectomy
among women with PostpartumHemorrhage (PPH) and whether early application might reduce the incidence
of transfusion.
Methods:
Data were reviewed from women treated via uterine compression sutures after cesarean delivery at a
university hospital between 2007 and 2016. Objective and subjective data were collected by analyzing medical
records and performing telephone interviews. To observe trends during the study period, data from the first
50% of women treated were compared with those from the second 50%.
Result:
Overall, 26 cesareans with uterine compression sutures were performed. Two hysterectomies could not
be avoided. During 2012-2106, 18 quilting sutures were performed as compared with 8 in 2007-2011, pointing
to a more liberal indication. Intensive care was required twice as frequently among the first 13 procedures
than among the second 13 procedures (10 vs 5, respectively). A similar observation was made for the use
of blood transfusions or clotting activation (9 vs 4, respectively). Three women who desired to have a child
subsequently delivered a newborn.
Conclusion:
Quilting sutures were found to be a safe and simple technique to prevent hysterectomies in PPH.
Morbidity was reduced when the decision to perform sutures was taken early.
Biography
Dr. Werner Stein is a gynecologist from the Medical Centre, Germany. He is specialized in reproductive medicine and his area of
interest includes reproductive medicine, obstetrics and gynecology.
werner.stein@diako-online.deJ Reprod Biol Endocrinol, Volume 3