• J H Cho, H S Jun, and C N Lee.
• Department of Obstetrics and Gynecology, Pochon Cha University College of Medicine, Cha General Hospital, Seoul, Korea. obgy@hotmail.com
• Obstet Gynecol. 2000 Jul 1; 96 (1): 129-131.

BackgroundIf medical management is unsuccessful in controlling postpartum hemorrhage, conservative surgical intervention or cesarean hysterectomy is required.TechniqueHemostatic multiple square suturing using a straight number 7 or number 8 needle and number 1 chromic catgut is a new surgical technique to approximate anterior and posterior uterine walls, especially in areas where there is heavy bleeding. It controls postpartum hemorrhage by attachment and compression of the hemorrhage site of the endometrium or myometrium.ExperienceWe used this technique in 23 women with postpartum hemorrhages at cesarean who did not respond to conservative treatment. In all 23 cases, bleeding decreased markedly and hysterectomy was avoided. All resumed normal menstrual flow after surgery. In four cases, further pregnancy was achieved after this method was used.ConclusionHemostatic multiple square suturing is an easy, safe, conservative surgical alternative to hysterectomy for treating uncontrollable postpartum hemorrhage.

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