# Clinical Lessons From a Case of Retained Non-absorbable Suture After Uterine Compression

## TL;DR

A case shows the risks of using non-absorbable sutures for uterine compression, leading to complications requiring surgical removal a year later.

## Contribution

Highlights clinical risks and prevention strategies for using non-absorbable sutures in uterine compression.

## Key findings

- Non-absorbable suture remained in the uterus for a year, causing a gap and risk of intestinal obstruction.
- Non-invasive methods failed to detect the suture, requiring laparoscopy for removal.
- Simulation training and prepared suture materials are recommended to prevent such errors.

## Abstract

Postpartum bleeding is commonly addressed with uterine compression using absorbable sutures; however, possible complications associated with non-absorbable threads are not well documented. We present a case in which a non-absorbable thread was mistakenly used to perform uterine compression sutures to treat postpartum uterine bleeding. Non-invasive methods, such as magnetic resonance imaging and hysteroscopy, failed to assess the sutures. As the patient wanted to have another child, diagnostic laparoscopy was performed one year later; the suture thread was still present, and a gap had formed between the thread and uterus, posing a risk for intestinal obstruction. The suture thread was successfully removed, and fertility treatment was resumed. This case highlights the dangers of using a non-absorbable thread for uterine compression sutures and the importance of promptly removing these sutures to avoid complications. Simulation training and pre-prepared suture materials are essential to prevent such errors. This case highlights the clinical risks associated with the use of non-absorbable sutures for uterine compression and the necessity of prompt identification and intervention to protect reproductive health.