A new removable uterine compression suture (RUCS) as an effective treatment for postpartum hemorrhage without long-term uterine synechiae: a retrospective preliminary study

TL;DR

A new removable uterine compression suture effectively controls postpartum hemorrhage without causing long-term uterine complications, based on a small preliminary study.

Contribution

Introduces a novel removable uterine compression suture that avoids long-term complications like uterine synechiae.

Findings

Bleeding was successfully controlled in all 11 patients who received the RUCS.

No intrauterine synechiae were detected in any patients at 6-month follow-up.

Five out of six women who had fertility outcomes data achieved subsequent pregnancies.

Abstract

Uterine compression sutures have proven to be a valuable and safe option in the control of Postpartum hemorrhage. To avoid complications related to uterine compression sutures (uterine necrosis, synechia, and pyometra), we assess the efficacy of removable uterine compression suture (RUCS) for primary postpartum hemorrhage (PPH) and evaluate its effectiveness.

This retrospective preliminary study was conducted at a tertiary referral hospital between January 2020 and November 2024, including patients diagnosed with postpartum hemorrhage who required compression sutures. Demographic characteristics of the patients who underwent RUCS and postpartum clinical parameters were determined.

Bleeding was successfully controlled in all 11 patients (100%). A mild, localized ecchymosis occurred at the unilateral suture exit site and resolved spontaneously. No intrauterine synechiae were detected in any of the 11 patients at 6-month hysteroscopic evaluation. Fertility outcomes were available for six women, five of whom achieved subsequent pregnancies.

In this study, we present a novel removable compression suture that appears to be effective, simple, and rapid in application, with the potential to reduce serious complications; however, further evaluation is warranted.

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