Interrupted circular suture: Bleeding control during cesarean delivery in placenta previa accreta
Rapid accumulation of blood from the placental separation site during cesarean delivery for placenta previa obscures the surgical field and quickly leads to deterioration of the patientʼs vital signs. We used the following technique in eight cases of intractable bleeding among 49 cesareans for place...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1991-11, Vol.78 (5), p.876-879 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | Cho, Joo Yun Kim, Seok Joong Cha, Kwang Yul Kay, Chung Woong Kim, Myung Ik Cha, Kyung Sub |
| description | Rapid accumulation of blood from the placental separation site during cesarean delivery for placenta previa obscures the surgical field and quickly leads to deterioration of the patientʼs vital signs. We used the following technique in eight cases of intractable bleeding among 49 cesareans for placenta previa. Following failure to control the bleeding by suture at the placental separation site via the lower segment cesarean incision, the vessels were ligated using interrupted 2-3-cm sutures at 1-cm intervals in a circle around the bleeding area on the serosal surface of the uterus. The sutures were placed as deeply as possible in order to reach the endometrium. This led to a marked decrease in bleeding and allowed the small vessels to be easily identified and ligated. The amount of blood transfused and the operation time were gradually reduced as we became adept in the use of this procedure. Our experience suggests that this technique could reduce the use of hysterectomy in cesarean for placenta previa. |
| format | Article |
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We used the following technique in eight cases of intractable bleeding among 49 cesareans for placenta previa. Following failure to control the bleeding by suture at the placental separation site via the lower segment cesarean incision, the vessels were ligated using interrupted 2-3-cm sutures at 1-cm intervals in a circle around the bleeding area on the serosal surface of the uterus. The sutures were placed as deeply as possible in order to reach the endometrium. This led to a marked decrease in bleeding and allowed the small vessels to be easily identified and ligated. The amount of blood transfused and the operation time were gradually reduced as we became adept in the use of this procedure. Our experience suggests that this technique could reduce the use of hysterectomy in cesarean for placenta previa.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 1923215</identifier><language>eng</language><publisher>United States: The American College of Obstetricians and Gynecologists</publisher><subject>Blood Loss, Surgical - prevention & control ; Blood Transfusion ; Catgut ; Cesarean Section - methods ; Female ; Hemostasis, Surgical ; Humans ; Ligation ; Placenta Accreta - surgery ; Placenta Previa - surgery ; Pregnancy ; Reoperation ; Suture Techniques ; Sutures ; Uterine Hemorrhage - prevention & control ; Uterus - blood supply ; Uterus - surgery</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1991-11, Vol.78 (5), p.876-879</ispartof><rights>1991 The American College of Obstetricians and Gynecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1923215$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cho, Joo Yun</creatorcontrib><creatorcontrib>Kim, Seok Joong</creatorcontrib><creatorcontrib>Cha, Kwang Yul</creatorcontrib><creatorcontrib>Kay, Chung Woong</creatorcontrib><creatorcontrib>Kim, Myung Ik</creatorcontrib><creatorcontrib>Cha, Kyung Sub</creatorcontrib><title>Interrupted circular suture: Bleeding control during cesarean delivery in placenta previa accreta</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>Rapid accumulation of blood from the placental separation site during cesarean delivery for placenta previa obscures the surgical field and quickly leads to deterioration of the patientʼs vital signs. We used the following technique in eight cases of intractable bleeding among 49 cesareans for placenta previa. Following failure to control the bleeding by suture at the placental separation site via the lower segment cesarean incision, the vessels were ligated using interrupted 2-3-cm sutures at 1-cm intervals in a circle around the bleeding area on the serosal surface of the uterus. The sutures were placed as deeply as possible in order to reach the endometrium. This led to a marked decrease in bleeding and allowed the small vessels to be easily identified and ligated. The amount of blood transfused and the operation time were gradually reduced as we became adept in the use of this procedure. Our experience suggests that this technique could reduce the use of hysterectomy in cesarean for placenta previa.</description><subject>Blood Loss, Surgical - prevention & control</subject><subject>Blood Transfusion</subject><subject>Catgut</subject><subject>Cesarean Section - methods</subject><subject>Female</subject><subject>Hemostasis, Surgical</subject><subject>Humans</subject><subject>Ligation</subject><subject>Placenta Accreta - surgery</subject><subject>Placenta Previa - surgery</subject><subject>Pregnancy</subject><subject>Reoperation</subject><subject>Suture Techniques</subject><subject>Sutures</subject><subject>Uterine Hemorrhage - prevention & control</subject><subject>Uterus - blood supply</subject><subject>Uterus - surgery</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkE1LxDAURYMo4zj6E4Ss3BXykrRN3Ongx8CAGwV35TV941QzbU0aZf69xZnF43I5l7c4J2wOplSZVOr9lM2FkDYrjdbn7CLGTyEEFFbN2AysVBLyOcNVN1IIaRip4a4NLnkMPKYxBbrl956oabsP7vpuDL3nTQr_lSIGwo435NsfCnvednzw6KgbkQ-Bflrk6FygES_Z2QZ9pKtjLtjb48Pr8jlbvzytlnfrbJA5yAzIKDAIBojA5FpYV5umkEZtVF5QTTAxjUppS7UttYWChCzNRtcFaHRqwW4Of4fQfyeKY7VroyPvsaM-xaqUoI3QdhpeH4ep3lFTDaHdYdhXRycT1wf-2_vJTfzy6ZdCtSX047aaHIpC5iIDawFgatl0Sqo_PdBunw</recordid><startdate>199111</startdate><enddate>199111</enddate><creator>Cho, Joo Yun</creator><creator>Kim, Seok Joong</creator><creator>Cha, Kwang Yul</creator><creator>Kay, Chung Woong</creator><creator>Kim, Myung Ik</creator><creator>Cha, Kyung Sub</creator><general>The American College of Obstetricians and Gynecologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199111</creationdate><title>Interrupted circular suture: Bleeding control during cesarean delivery in placenta previa accreta</title><author>Cho, Joo Yun ; Kim, Seok Joong ; Cha, Kwang Yul ; Kay, Chung Woong ; Kim, Myung Ik ; Cha, Kyung Sub</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2512-1e8318a181ee185409cb8d6283f356ebe1a184a3349eb974916e0278f4b614ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Blood Loss, Surgical - prevention & control</topic><topic>Blood Transfusion</topic><topic>Catgut</topic><topic>Cesarean Section - methods</topic><topic>Female</topic><topic>Hemostasis, Surgical</topic><topic>Humans</topic><topic>Ligation</topic><topic>Placenta Accreta - surgery</topic><topic>Placenta Previa - surgery</topic><topic>Pregnancy</topic><topic>Reoperation</topic><topic>Suture Techniques</topic><topic>Sutures</topic><topic>Uterine Hemorrhage - prevention & control</topic><topic>Uterus - blood supply</topic><topic>Uterus - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, Joo Yun</creatorcontrib><creatorcontrib>Kim, Seok Joong</creatorcontrib><creatorcontrib>Cha, Kwang Yul</creatorcontrib><creatorcontrib>Kay, Chung Woong</creatorcontrib><creatorcontrib>Kim, Myung Ik</creatorcontrib><creatorcontrib>Cha, Kyung Sub</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, Joo Yun</au><au>Kim, Seok Joong</au><au>Cha, Kwang Yul</au><au>Kay, Chung Woong</au><au>Kim, Myung Ik</au><au>Cha, Kyung Sub</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interrupted circular suture: Bleeding control during cesarean delivery in placenta previa accreta</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1991-11</date><risdate>1991</risdate><volume>78</volume><issue>5</issue><spage>876</spage><epage>879</epage><pages>876-879</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>Rapid accumulation of blood from the placental separation site during cesarean delivery for placenta previa obscures the surgical field and quickly leads to deterioration of the patientʼs vital signs. We used the following technique in eight cases of intractable bleeding among 49 cesareans for placenta previa. Following failure to control the bleeding by suture at the placental separation site via the lower segment cesarean incision, the vessels were ligated using interrupted 2-3-cm sutures at 1-cm intervals in a circle around the bleeding area on the serosal surface of the uterus. The sutures were placed as deeply as possible in order to reach the endometrium. This led to a marked decrease in bleeding and allowed the small vessels to be easily identified and ligated. The amount of blood transfused and the operation time were gradually reduced as we became adept in the use of this procedure. Our experience suggests that this technique could reduce the use of hysterectomy in cesarean for placenta previa.</abstract><cop>United States</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>1923215</pmid><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1991-11, Vol.78 (5), p.876-879 |
| issn | 0029-7844 1873-233X |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Blood Loss, Surgical - prevention & control Blood Transfusion Catgut Cesarean Section - methods Female Hemostasis, Surgical Humans Ligation Placenta Accreta - surgery Placenta Previa - surgery Pregnancy Reoperation Suture Techniques Sutures Uterine Hemorrhage - prevention & control Uterus - blood supply Uterus - surgery |
| title | Interrupted circular suture: Bleeding control during cesarean delivery in placenta previa accreta |
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