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  • Title: [Partial uterine wall necrosis following Cho hemostatic sutures for the treatment of postpartum hemorrhage].
    Author: Reyftmann L, Nguyen A, Ristic V, Rouleau C, Mazet N, Dechaud H.
    Journal: Gynecol Obstet Fertil; 2009 Jun; 37(6):579-82. PubMed ID: 19477674.
    Abstract:
    A 38-year-old woman, gravida 2, para 2, underwent caesarean section at 41 weeks' gestation and suffered postpartum hemorrhage due to uterine atony. Four Cho sutures were used to control hemorrhage. A systematic postpartum hysteroscopy showed a heterogenous whitish area of the fundus and MRI advocated placental retention. However, hysteroscopically guided biopsies confirmed the diagnosis of partial uterine necrosis. We emphasize the need to undergo postoperative follow-up to confirm uterine wall integrity after placement of compression sutures in order to document the complications of this procedure, which remain under evaluated.
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