CC BY 4.0 · Surg J (N Y) 2020; 06(02): e67-e70
DOI: 10.1055/s-0040-1708865
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Laparoscopic Removal of Modified Vertical Uterine Compression Sutures due to Postoperative Focal Pain

1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
,
Jun Takeda
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
,
Makoto Jinushi
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
,
Rie Seyama
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
,
Yojiro Maruyama
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
,
Shintaro Makino
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
,
Mari Kitade
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
,
Atsuo Itakura
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
› Author Affiliations
Further Information

Publication History

10 September 2019

04 February 2020

Publication Date:
31 March 2020 (online)

Abstract

Previously we reported laparoscopic removal of compression sutures due to uterine ischemia and related pain, which has two of the difficult aspects: (1) maneuvering the curved needle to perform compression suturing in the narrow surgical field, and (2) distinguishing between the threads of the cesarean section wound sutures versus the vertical compression sutures during removal, as the threads are the same white color. We performed vertical compression sutures for intrapartum hemorrhage with total placental previa, and modified both the needle type and the color of the thread used for uterine compression sutures during cesarean section. After the operation, we performed successful laparoscopic removal of compression sutures for postoperative focal pain. Changing the needle type and color helped to perform operations. The present case supports the concept that the laparoscopic removal of uterine compression suturing is useful for controlling pain in cases where general analgesics are ineffective.

Disclosure of Interest

The authors declare that they have no conflict of interest.


 
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