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.
Keywords
hemostasis - intrapartum hemorrhage - uterine compression suture - complications -
surgical technique
