A new technique: Acar's atony suture for postpartum uterine hemorrhage

Abstract

Objective: This study aims to define a new compression suture technique that is easy to apply and effective in stopping PPH immediately.

Study design: This is a retrospective study of 22 women who received Acar's uterine compressive atony sutures at a single tertiary hospital between January 2021 and November 2023. Demographic and obstetric data were collected. Outcomes included units of blood transfused, intraoperative and postoperative adverse events, duration of hospital admission, and hysterectomy rate.

Results: The new suture technique was successful in all cases. Acar's atony suture effectively stopped PPH due to uterine atony. None of the patients needed a hysterectomy. Ten (45.5%) patients received blood product transfusions. Only two of the patients (9%), both of whom had given birth in an external center and in whom the suture was applied afterwards, needed a a stay in the postoperative intensive care unit. The mean hospital stay was 4±1 days.

Conclusions: Acar's atony suture is a practical, feasible, and uterine-sparing technique for PPH due to uterine atony.

Trial registration: ClinicalTrials.gov NCT06353074.