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  • Title: A novel 'uterine sandwich' for haemorrhage at caesarean section for placenta praevia.
    Author: Matsubara S, Kuwata T, Baba Y, Usui R, Suzuki H, Takahashi H, Ohkuchi A, Suzuki M.
    Journal: Aust N Z J Obstet Gynaecol; 2014 Jun; 54(3):283-6. PubMed ID: 24506478.
    Abstract:
    Although massive haemorrhage at caesarean section (CS) for placenta praevia is a serious concern, effective treatment is not yet determined. We performed a new uterine sandwich to achieve haemostasis at CS for total placenta praevia in five consecutive cases in whom the placenta reached up to >5 cm from the internal cervical os in all directions of an uterine wall. A Matsubara-Yano (MY) uterine compression suture was placed, followed by placement of an intrauterine balloon. Haemostasis was achieved in all five cases with median blood loss of 1618 mL. No short-term adverse events were observed. The MY sandwich can be used to achieve haemostasis at CS for placenta praevia.
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