Novel LUS Compression Sutures for Previa Bleeding
From Dr. Chapa’s OBGYN Clinical Pearls by Dr. Chapa’s Clinical Pearls
April 28, 2026 · 25 min
About this episode
This episode discusses novel suture techniques for managing lower uterine segment bleeding due to previa and preventing hysterectomy.
Uterine compression sutures are effective, uterus-sparing techniques for managing severe postpartum hemorrhage (PPH) due to atony, avoiding hysterectomy. Keytypes include the B-Lynch suture (vertical, brace-like), Hayman suture (simplified vertical), and Pereira sutures (multiple, comprehensive sutures), and Cho Compression (quadrant square anterior to posterior closures), are applied when pharmacological methods fail. But these, while helpful with atony, do not address the LUS bleeding from previa which are below these applications. Even the O’Leary lateral sutures are often higher tha the bleeding and thin, anterior LUS affected by previa. Previa is a significant risk factor for PPH. In this episode, we will highlight 3 novel suture techniques which have been in print (TWO as recent as January 2026) which can be effective in stopping the LUS bleeding and avoiding hysterectomy. We will highlight the transverse circumferential purse string, the simple transverse Nausicaa suture, and theLUS WaveForm suture. These are easy to use and may be lifesaving. 1. Shih J, Li J, Kang J .The Nausicaä suture in the management of the placenta accreta spectrum. AJOG. Jan 2026: 233, S671-S688 S…
People in this episode
Host: Dr. Chapa
Topics covered
- uterine compression sutures
- postpartum hemorrhage
- placenta previa
- surgical techniques
- lower uterine segment bleeding
Keywords
- compression sutures
- postpartum hemorrhage
- B-Lynch suture
- Hayman suture
- Pereira sutures
- Cho Compression
- Nausicaa suture
- LUS WaveForm suture
- placenta accreta spectrum
Mentioned in this episode
Organizations: Northern Borders Saudi Arabia
Books & works: AJOG, Medicin
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