20/10/2025
https://www.facebook.com/share/p/17fUbYtUJk/?mibextid=wwXIfr
AJOG Expert Review in Labor: Uterine-sparing surgical procedures to control postpartum hemorrhage: Pereira’s uterine compression technique - A, Anterior view. The superior transverse suture passes through the right and left broad ligaments of the uterus high in the avascular area (just under the 2 uterine horns) and is tied at the anterior wall of the uterus: (1) beginning of the superior transverse suture; (2) the superior transverse suture passes through the left broad ligament of the uterus, high up in the avascular area; (3) end of the superior transverse suture; and (4) the superior transverse suture is tied at the anterior wall of the uterus. B, Posterior view. The 3 transverse sutures are in place and tied at the anterior wall of the uterus (1, 2, 3). On the posterior wall, a longitudinal suture (4) is tied to the transverse suture (5) situated at the level of the lower segment. The suture is directed toward the uterine fundus; at the superior posterior wall, it superficially transfixes the myometrium, with the aid of the needle, before reaching the uterine fundus. Once at the fundus, the suture runs anteriorly along the anterior surface, which it also transfixes superficially through the myometrium in its superior portion, then descends and is finally tied on the anterior wall to the transverse suture located at the level of the lower uterine segment. https://ow.ly/yqIB50Q9aOb