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Federación Mexicana de Ginecología y Obstetricia, A.C.

2019, Number 08

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Ginecol Obstet Mex 2019; 87 (08)

Results with two techniques of uterine hemostatic sutures in obstetric hemorrhage patients

de la Luna OE, Carranza-Sánchez B, Nava-López L, Andrade-del Toro AR, Arellano-Cabrera S, Hurtado-Robles J, Alfaro-Tapia JV, Ayón-Lizarraga JL, Carranza-Sánchez P

Language: Spanish
References: 39
Page: 506-512
PDF size: 357.77 Kb.


ABSTRACT

Objective: To present the results obtained with two techniques of uterine hemostatic sutures for the control of obstetric hemorrhage.
Materials and methods: Prospective, observational, longitudinal study in three hospital units of the 1st. from January to November 30, 2018. Thirty-four patients with postpartum and transcesarean hemorrhage were included. The postpartum patients underwent Hayman technique and the B-Lynch technique. The following were analyzed: 1) amount of hemorrhage before and after the sutures, 2) time between diagnosis and placement, 3) hemoglobin levels at admission to the care unit, 1 hour after the hemorrhage and 24 hours after treatment, 4) results with the two techniques and 5) complications. Statistical analysis of all these variables was performed with SPSS, 22 version.
Results: A total of 34 patients were registered: 26 sutures performed with B-Lynch technique and 8 with Hayman technique. The amount of bleeding after the application was lower (p ‹0.001). The time between diagnosis of bleeding and placement was 11.5 + 5.9 minutes. The hemoglobin levels at admission to the hospital and one hour after the hemorrhage were significantly lower (p ‹0.01) and 24 hours later (p ‹0.05). In 30/34 of cases, a favorable response to surgical treatment was achieved. In four cases, another procedure was required to control bleeding. There were no complications with the use of sutures or maternal deaths.
Conclusions: The use of uterine sutures was a useful, fast and uncomplicated therapy for the control of obstetric hemorrhage.


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