2018, Number 09
Ginecol Obstet Mex 2018; 86 (09)
Moreno-Santillán AA, Posadas-Nava A, Martínez-Adame LM, Celis-González C
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ABSTRACTObjective: To report a 4-year institutional experience in the use of Hayman uterine compression stitch as a conservative method for the management of the postpartum hemorrhage.
Materials and Methods: We designed a prospective and observational study from January 1 2014 to January 1 2018 in a tertiary care hospital. Hayman suture was applied to all cases with postpartum hemorrhage and poor response to uterotonic drug therapy. We recorded information about general obstetric information, indications, effectiveness, complications and time about the uterine compression stich, bleeding and need of practicing another technique.
Results: Hayman suture was performed on 87 patients to control intractable postpartum hemorrhage that did not respond to uterotonic agents. The postpartum hemorrhage presented at cesarean section in 73/87 of the cases and in 16% after vaginal birth. The average time for Hayman suture was 5.1 minutes and the mean bleeding was 1310.4 ± 730.3 mL. Hayman suture was successful in 78/87 of the cases, in 5 uterine vessels and ovarian vessels were also ligated and 2 required hysterectomy because of persistent bleeding. The postoperative course was uncomplicated.
Conclusion: Hayman's compressive suture can control postpartum obstetric hemorrhage, secondary to atony or placental bed hemorrhage, without the need for additional procedures or techniques.