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Korean Journal of Obstetrics & Gynecology 2006;49(2):448-452.
Published online February 1, 2006.
A selective hemostatic suturing technique for placental site bleeding: a case report.
Su Jeong Park, Seong Jin Choi, Sang Jun Park, Mahn Gyu Cho, Hyo Eon Kim, Kyoung Hee Han, In Bai Chung
Department of Obstetrics and Gynecology, Yonsei University, Wonju College of Medicine, Wonju, Korea. Qwerty@wonju.yonsei.ac.kr
Abstract
In postpartum hemorrhage, many clinicians should often consider hysterectomy after delivery. Many surgeons have suggested conservative surgical procedures such as uterine, ovarian and internal iliac artery ligation for preserving future childbearing potential. Recently, B-Lynch surgical technique and hemostatic multiple square suture technique were suggested to compress the entire uterine walls as another methods. The individual choice between these procedures depend on several factors including the general condition of patient and the experience of surgeon. Here, we introduce a case of the selective hemostatic suturing technique which was used to a patient with placenta previa at 20 weeks' gestation. The suturing technique could be used to a patient with massive bleeding from the placental separation site with normal uterine contraction during cesarean delivery.
Key Words: Postpartum hemorrhage, Placenta previa, Selective hemostatic suture
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