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Objective: To minimize the adverse events of uterine compression suture in controlling postpartum hemorrhage (PPH) and to search for a prophylactic approach to potential PPH.
Methods: A retrospective analysis was performed in 39 women with removable retropubic uterine compression suture (RRUCS) to stop PPH due to uterine atony during cesarean section (CS). The procedure was to suspend and compress the uterus to the retropubic abdominal wall using an absorbable suture.
Results: The technique was sufficient to stanch bleeding immediately in 36 patients (92.31%, 36/39). No morbidity or abnormalities occurred in women who underwent RRUCS. Subsequent pregnancies occurred in 10 cases, but the others lacked the desire for future pregnancy.
Conclusion: RRUCS is a simple, safe, and effective technique in controlling atonic PPH; it is also used as a prophylactic application in patients with potential PPH after CS.
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http://dx.doi.org/10.1111/jog.14698 | DOI Listing |
Int J Surg Case Rep
September 2025
Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1, Shuaifuyuan, Beijing, 100730, China. Electronic address:
Introduction And Importance: Giant splenic hemangiomas are rare and pose diagnostic and management challenges, particularly during pregnancy. This case highlights the need for multidisciplinary approach to manage such a massive splenic lesion in the second trimester.
Case Presentation: A 34-year-old woman with pre-pregnancy splenic cysts developed left upper quadrant distension at 19 weeks of gestation.
Cureus
August 2025
Department of Anesthesiology, Perioperative Medicine, and Pain Management, Jackson Memorial Hospital, Miami, USA.
May-Thurner syndrome (MTS) is characterized by the compression of the left common iliac vein by the overlying right common iliac artery, which can lead to venous insufficiency, obstruction, and an increased risk of iliofemoral deep vein thrombosis (DVT) and pulmonary embolism (PE). We report the perioperative anesthetic management of a 38-year-old female with symptomatic MTS who underwent a total laparoscopic hysterectomy, bilateral salpingectomy, and lysis of adhesions for abnormal uterine bleeding. The patient had a history of persistent left lower extremity symptoms despite prior left common iliac vein stenting and was on chronic anticoagulation therapy with rivaroxaban.
View Article and Find Full Text PDFAnn Med Surg (Lond)
July 2025
Anesthesiology and Perioperative Medicine, Jiaxing Maternity and Children Health Care Hospital, Affiliated Women and Children Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Background: Aortocaval compression by the gravid uterus in the supine position may exacerbate spinal hypotension during cesarean delivery. We developed an inflatable lumbar pillow (ILP) to elevate the uterus in the supine position. The aim of this study was to evaluate the effect of the ILP on the dose of phenylephrine to prevent hypotension after spinal anesthesia in cesarean delivery.
View Article and Find Full Text PDFAnn Med Surg (Lond)
July 2025
Department of Visceral Surgery and Digestive Oncology A, Mohammed VI University Hospital, Oujda, Morocco.
Introduction And Importance: Uterine leiomyosarcoma (uLMS) is a rare and highly aggressive malignancy of the uterine myometrium, accounting for only 1-2% of uterine cancers. Due to its nonspecific presentation and the difficulty in distinguishing it from benign conditions, preoperative diagnosis remains challenging. Advanced diagnostic tools and clinical vigilance are crucial to improving outcomes for affected patients.
View Article and Find Full Text PDFPhilos Trans R Soc Lond B Biol Sci
August 2025
Department of Physiology, Development and Neuroscience (PDN), University of Cambridge, Cambridge, UK.
Hypoxia is a common challenge in fetal development. Short-term acute episodes occur during labour owing to uterine contractions or umbilical cord compression. In response, the fetus prioritizes oxygen and nutrient delivery to the brain, heart and adrenal glands at the expense of other organs, a mechanism known as the fetal brain-sparing response.
View Article and Find Full Text PDF