Speakers - 2026

Title: A new surgical way to face postpartum hemorrhage

Abstract

Objective: We introduced two novel hemostatic techniques to achieve hemostasis for postpartum hemorrhage (PPH). The first one (A: Uterus Isthmic Plication) Is a new uterine compression suture, which compresses the hysterotomy site. In a severe case, we further added large uterine vessels ligation suture t which we have named B-suture (Wide Lateral Uterine Vascular Ligation).

Methods: Of 140 PPH cases, 90 were with mild PPH and 40 were with severe PPH. Our policy was: perform A-suture to mild PPH and perform B (combination) to severe PPH. Study was performed during 2018-2019. The primary endpoint to evaluate the efficacy of the procedures was preserving the uterus (no hysterectomy).

Results: A-procedure, performed to 90 patients with mild PPH, was effective to all 90 patients, with all pre- serving the uterus. B-procedure, performed 38 patients with severe PPH (excluding two patients with uterine rupture), was effective in 37 patients, with one having undergone hysterectomy due to coagulopathy.

Conclusion: Uterus Isthmic Plication (A-procedure) in mild cases of postpartum hemorrhage and this A procedure if added to Wide Lateral Uterine Vascular Ligation (B-procedure), allows the control of postpartum hemorrhage in severe cases, as well as the preservation of the uterus.