Application of different suture methods in cervical canal intractable hemorrhage in placenta previa cesarean section

Abstract

Objective To investigate the effects of different suture methods on cervical canal intractable hemorrhage in placenta previa cesarean section. Methods Seventy-eight patients who under went placenta previa cesarean section complicated with cervical canal intractable hemorrhage were divided into observation group and control group by hemostasis methods, with 39 cases in each group. Control group was given cervical interrupted suture, while observation group was given cervical hanging suture. The clinical indexes, incidences of successful hemostasis, hysterectomy, puerperal infection were compared between the two groups. Results The bleeding volume, intraoperative blood transfusion volume, operation time, hemostasis time and hospital stays in observation group were significantly shorter than those in control group (P<0.05); the incidences of puerperal infection and hysterectomy in observation group (2.56%, 0) were significantly lower than those in control group (20.51%, 10.26%), and the success rate of hemostasis in observation group (100%) was higher than that in control group(82.05%, P<0.05). Conclusions Cervical hanging suture for patients with cervical canal intractable hemorrhage in placenta previa cesarean section can effectively reduce postoperative bleeding volume, shorten hemostasis and operation time, increase the success rate of hemostasis, decrease the incidences of hysterectomy and puerperal infection, which is worthy of clinical promotion. Key words: Cervical hanging suture; Interrupted suture; Placenta previa cesarean section; Cervical canal intractable hemorrhage