Vertical compression sutures for control of postpartum hemorrhage from a placenta previa in cesarean section — To evaluate the usefulness of this technique

• Tanaka Toshitaka

  Department of Obstetrics and Gynecology, Juntendo University School of Medicine

• Makino Shintaro

  Department of Obstetrics and Gynecology, Juntendo University School of Medicine

• Yorifuji Takashi

  Department of Obstetrics and Gynecology, Juntendo University School of Medicine

• Saito Tomomi

  Department of Obstetrics and Gynecology, Juntendo University School of Medicine

• Koshiishi Taro

  Department of Obstetrics and Gynecology, Juntendo University School of Medicine

• Tanaka Saori

  Department of Obstetrics and Gynecology, Juntendo University School of Medicine

• Ota Atsuyuki

  Department of Obstetrics and Gynecology, Juntendo University School of Medicine

• Takeda Satoru

  Department of Obstetrics and Gynecology, Juntendo University School of Medicine

抄録

Aim: Various methods to reduce postpartum hemorrhage due to placenta previa have been suggested. The aim of this study is to evaluate the usefulness of vertical compression sutures (VCS) for controlling bleeding in patients with a placenta previa.<br>Methods: We analyzed 115 patents with placenta previa and compared 38 patients before the introduction of VCS and 77 patients after its introduction. The 77 patients were divided into 2 groups, 63 women in whom VCS were not used (Non-VCS Group) and 14 women who received VCS (VCS Group); the groups were compared.<br>Results: The average blood loss during surgery was 1,910±1,536 ml before the introduction of VCS and 1,530±699.0 ml after its introduction. The rate of patients with hemorrhage > 2,000 ml was 37% (14/38) before VCS were introduced and 19% (15/77) after their introduction (P<0.05). VCS were used in 14 cases and were effective in all cases. The average intraoperative blood loss was 1,443±655.8 ml in the Non-VCS group and 1,919±778.1 ml in the VCS Group (P<0.05). The rate of patients with hemorrhage > 2,000 ml was 13% (8/63) in the Non-VCS group and 50% (7/14) in the VCS Group (P<0.05).<br>Conclusions: VCS is effective for controlling bleeding with a placenta previa.

収録刊行物

• Hypertension Research in Pregnancy

  Hypertension Research in Pregnancy 2 (1), 21-25, 2014

  日本妊娠高血圧学会

キーワード

• hemostasis
• placenta previa
• vertical compression sutures

詳細情報

• CRID: 1390001205509768704
• NII論文ID: 130004687098
• DOI: 10.14390/jsshp.2.21
• ISSN: 21879931
• ISSN: 21875987
• Web Site: https://www.jstage.jst.go.jp/article/jsshp/2/1/2_21/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2016248735
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可