Novel LUS Compression Sutures for Previa Bleeding

About this episode

This episode discusses novel suture techniques for managing bleeding from the lower uterine segment in cases of previa to avoid hysterectomy.

Uterine compression sutures are effective, uterus-sparing techniques for managing severe postpartum hemorrhage (PPH) due to atony, avoiding hysterectomy. Key types 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 the LUS WaveForm suture. These are easy to use and may be lifesaving. 1. The Nausicaä suture in the management of the placenta accreta spectrum: Shih J, Li J, Kang J .The Nausicaä suture in the…

People in this episode

Host: Hector Chapa

Topics covered

• uterine compression sutures
• postpartum hemorrhage
• placenta previa
• surgical techniques
• hysterectomy avoidance

Keywords

• compression sutures
• postpartum hemorrhage
• placenta previa
• surgical techniques
• Nausticaa suture
• WaveForm suture
• B-Lynch suture

Mentioned in this episode

Books & works: AJOG, The Nausicaä suture in the management of the placenta accreta spectrum

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